| Lisa Larimer Burtis, LMFT | |
|
347 Cypress St Ste A, Fort Bragg, CA 95437-5458 | |
| (707) 972-2261 | |
| (707) 937-1876 |
| Full Name | Lisa Larimer Burtis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 347 Cypress St Ste A, Fort Bragg, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952445454 | NPI | - | NPPES |
| 1952445454 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT49997 (California) | Primary |
| Entity Name | Bitterroot Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003401910 PECOS PAC ID: 2163875287 Enrollment ID: O20240125000609 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Larimer Burtis, LMFT Po Box 653, Mendocino, CA 95460-0653 Ph: (707) 972-2261 | Lisa Larimer Burtis, LMFT 347 Cypress St Ste A, Fort Bragg, CA 95437-5458 Ph: (707) 972-2261 |
Jenna Glasscock, MA, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 Phone: 707-734-9066 Fax: 844-388-6167 | |
Ms. Marty Christine Johnson, L.M.F.T. CA. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 331 E. Redwood Ave, Fort Bragg, CA 95437 Phone: 707-964-6164 | |
Laurel Lemohn, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 E Oak St, Fort Bragg, CA 95437 Phone: 707-961-0172 Fax: 844-388-6167 | |
Ms. Katharine L. White, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 E Oak Street, Fort Bragg, CA 95437 Phone: 707-961-0172 Fax: 844-388-6167 | |
Carol Michelson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 347 Cypress St Ste B, Fort Bragg, CA 95437 Phone: 707-962-4696 | |
Gretchen Hahn, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 337 E Redwood Ave Ste B, Fort Bragg, CA 95437 Phone: 707-357-6546 | |
Sara Bulakowski, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437 Phone: 707-467-2010 |