Organization · Type 2 NPI

Manifest Wellness, LLC

Professional Counselor · Madison, WI

NPI number 1750064283 Active

Practice location

2010 Eastwood Dr Ste 102
Madison, WI 53704-5387

Call (608) 291-3676 Map

Fax (608) 716-3156

Mailing address

2010 Eastwood Dr Ste 104
Madison, WI 53704-5387

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XNone listed
Social Worker 104100000XNone listed
Marriage & Family Therapist 106H00000XNone listed

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About NPI 1750064283

Manifest Wellness, LLC's National Provider Identifier is 1750064283, issued on Aug 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Madison, WI. The record was last updated on Dec 6, 2024.