NPI Code Details Logo

NPI 1396687000

NPI 1396687000 : LWC THERAPY MARRIAGE& FAMILY THERAPY INC : NEWPORT BEACH, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396687000
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LWC THERAPY MARRIAGE& FAMILY THERAPY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/09/2026
-----------------------------------------------------
    Last Update Date     |    04/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3345 NEWPORT BLVD STE 214 
-----------------------------------------------------
    City                 |    NEWPORT BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92663-3848
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    949-633-2821
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3345 NEWPORT BLVD STE 214 
-----------------------------------------------------
    City                 |    NEWPORT BEACH
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92663-3848
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    949-633-2821
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     FRANCES  MILLIGAN 
-----------------------------------------------------
    Credential           |    LMFT
-----------------------------------------------------
    Telephone            |    949-791-8583
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.