Organization
GREYLEY WELLNESS LLC
Active
Other names
Madison Trauma Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE E MOLL LCSW (OWNER)
(608) 419-6103
Entity
Organization
Contact information
Practice address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Mailing address
2010 EASTWOOD DR STE 300, MADISON, WI 53704-5387
(608) 509-9287
(608) 630-8089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176083
—
WI
Enumeration date
03/15/2017
Last updated
12/04/2023
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