MEDICARE: MRS. MARIA L. CRUZ MS. LMFT

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	106H00000X	Marriage & Family Therapist		WI
2	106H00000X	Marriage & Family Therapist	1637	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871704080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA L. CRUZ MS. LMFT

Provider Business Mailing Address
First Line	:	31 WASHINGTON DR
Second Line	:
City	:	HAVELOCK
State	:	NC
Zip	:	28532-3668
Country	:	US
Telephone Number	:	608-444-2716
Fax Number	:

Provider Business Practice Location Address
First Line	:	3332 BRIDGES ST
Second Line	:	SUITE 3A
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-3280
Country	:	US
Telephone Number	:	888-557-1675
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	01/16/2017

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