Healthcare Provider Details

I. General information

NPI: 1669301503
Provider Name (Legal Business Name): JOY SONG WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2453 ATWOOD AVE
MADISON WI
53704-5661
US

IV. Provider business mailing address

1013 GROVER ST
MADISON WI
53704-4307
US

V. Phone/Fax

Practice location:
  • Phone: 608-718-8681
  • Fax:
Mailing address:
  • Phone: 608-718-8681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIRA STORY
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 608-718-8681