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NPI Code Detail

MEDICARE: MARRIAGE AND FAMILY FOCUS LLC

MEDICARE: MARRIAGE AND FAMILY FOCUS 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1649869074
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARRIAGE AND FAMILY FOCUS LLC
Provider Business Mailing Address
First Line : 307 S PATERSON ST STE 120
Second Line :
City : MADISON
State : WI
Zip : 53703-3517
Country : US
Telephone Number : 608-501-1629
Fax Number :
Provider Business Practice Location Address
First Line : 307 S PATERSON ST STE 120
Second Line :
City : MADISON
State : WI
Zip : 53703-3517
Country : US
Telephone Number : 608-501-1629
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. ANNIE ELIZABETH SMITH
Credential : MA, LPC
Telephone Number : 608-501-1629
Provider Enumeration Date : 01/11/2021
Last Update Date : 10/13/2023

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Directions to “MARRIAGE AND FAMILY FOCUS LLC ” Practice Location

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