MEDICARE: HBL THERAPY CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467346692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HBL THERAPY CENTER, LLC

Provider Business Mailing Address
First Line	:	100 WILBURN RD STE 108
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1478
Country	:	US
Telephone Number	:	608-400-6740
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WILBURN RD STE 108
Second Line	:
City	:	SUN PRAIRIE
State	:	WI
Zip	:	53590-1478
Country	:	US
Telephone Number	:	608-400-6740
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST AND HBL OWNER
Name	:	ENJOLI HARPER
Credential	:	LCSW, CSAC
Telephone Number	:	608-400-6740

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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