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NPI Code Detail

MEDICARE: MRS. BREANNA LYNN LAUBENHEIMER MFT-IT

MEDICARE:  MRS. BREANNA LYNN LAUBENHEIMER  MFT-IT
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
1106H00000XMarriage & Family Therapist1211-228WI

General Provider Information

NPI Number : 1427901743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BREANNA LYNN LAUBENHEIMER MFT-IT
Provider Business Mailing Address
First Line : 2118 MACARTHUR RD APT A
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-5700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : N91W17194 APPLETON AVE STE 204
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-2083
Country : US
Telephone Number : 414-502-7780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ MRS. BREANNA LYNN LAUBENHEIMER MFT-IT” Practice Location

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