Healthcare Provider Details
I. General information
NPI: 1972461853
Provider Name (Legal Business Name): EMERGE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6302 ODANA RD STE 201
MADISON WI
53719-1162
US
IV. Provider business mailing address
6302 ODANA RD STE 201
MADISON WI
53719-1162
US
V. Phone/Fax
- Phone: 608-322-7033
- Fax: 608-322-7033
- Phone: 608-322-7033
- Fax: 608-322-7033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MELISSA
DAWN
WOHLERS
Title or Position: MANAGING MEMBER
Credential:
Phone: 608-322-7033