MEDICARE: MT THERAPEUTIC SERVICES L. L. C.

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	:	1295688018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MT THERAPEUTIC SERVICES L. L. C.

Provider Business Mailing Address
First Line	:	9 AMHERST CT APT B
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7917
Country	:	US
Telephone Number	:	561-677-9909
Fax Number	:

Provider Business Practice Location Address
First Line	:	9 AMHERST CT APT B
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-7917
Country	:	US
Telephone Number	:	561-677-9909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. MARNI TARTACK
Credential	:	LCSW
Telephone Number	:	561-677-9909

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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