Provider Demographics
NPI:1831448091
Name:ASSOCIATES IN PSYCHOTHERAPY, LLC
Entity type:Organization
Organization Name:ASSOCIATES IN PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, NCC
Authorized Official - Phone:608-752-7255
Mailing Address - Street 1:4700 DRESSER DR
Mailing Address - Street 2:STE 100
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53546-9160
Mailing Address - Country:US
Mailing Address - Phone:608-752-7255
Mailing Address - Fax:608-752-6942
Practice Address - Street 1:4700 DRESSER DR
Practice Address - Street 2:STE 100
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53546-9160
Practice Address - Country:US
Practice Address - Phone:608-752-7255
Practice Address - Fax:608-752-6942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-04
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI101YP2500X, 103TC0700X, 1041C0700X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty