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General NPI Number Information
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NPI Number | 1700740636
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Entity Type | Organization
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Legal Business Name | CENTERPOINT SOMATIC THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 26 SCHROEDER CT STE 120
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City | MADISON
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State | WI
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Zip | 53711-2503
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Country | US
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Telephone | 608-220-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 4134 BIRCH AVE
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City | MADISON
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State | WI
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Zip | 53711-1607
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Country | US
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Telephone | 608-220-5996
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MAUREEN ELLEN GROSSE
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Credential | LPC
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Telephone | 608-220-5996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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