Organization
MADISON BEHAVIORAL SERVICES, LLC
Active
Other names
Madison Behavioral Services
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY ALLAN KIMEL (OWNER)
(608) 514-1672
Entity
Organization
Contact information
Practice address
16 N CARROLL ST, STE 400, MADISON, WI 53703-2762
(608) 514-1672
(608) 401-4428
Mailing address
16 N CARROLL ST STE 400, MADISON, WI 53703-2762
(608) 514-1672
(608) 401-4428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100095265
—
WI
Enumeration date
08/05/2015
Last updated
06/09/2021
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