| Beloved Therapy Llc | |
|
414 W Main St Cambridge WI 53523-9144 | |
| (608) 616-5085 | |
| Not Available |
| Full Name | Beloved Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 414 W Main St, Cambridge, Wisconsin |
| Authorized Official Name and Position | Brenda Lovick (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 6086165085 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloved Therapy Llc 414 W Main St Cambridge WI 53523-9144 Ph: (608) 616-5085 | Beloved Therapy Llc 414 W Main St Cambridge WI 53523-9144 Ph: (608) 616-5085 |
| NPI Number | 1790495232 |
|---|---|
| Provider Enumeration Date | 11/23/2022 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Medicare PECOS PAC ID | 5799126900 |
|---|---|
| Medicare Enrollment ID | O20240517002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790495232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Brenda R Lovick |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376161489 PECOS PAC ID: 5395189310 Enrollment ID: I20240219000714 |
Cambridge Counseling Clinic Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 120 East Main St, Cambridge, WI 53523 Phone: 608-423-4700 Fax: 608-423-7751 |