MEDICARE: LWC THERAPY MARRIAGE& FAMILY THERAPY INC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1396687000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LWC THERAPY MARRIAGE& FAMILY THERAPY INC

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

Provider Business Practice Location Address
First Line	:	3345 NEWPORT BLVD STE 214
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-3848
Country	:	US
Telephone Number	:	949-633-2821
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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