Provider Demographics
NPI:1942600515
Name:MADISON COACHING & THERAPY SERVICES
Entity Type:Organization
Organization Name:MADISON COACHING & THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CAPSW
Authorized Official - Phone:608-230-6178
Mailing Address - Street 1:3310 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53705-2135
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3310 UNIVERSITY AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53705-2135
Practice Address - Country:US
Practice Address - Phone:608-230-6178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1281071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty