| Marriage And Family Focus Llc | |
|
307 S Paterson St Ste 120 Madison WI 53703-3517 | |
| (608) 501-1629 | |
| Not Available |
| Full Name | Marriage And Family Focus Llc |
|---|---|
| Speciality | Counselor |
| Location | 307 S Paterson St Ste 120, Madison, Wisconsin |
| Authorized Official Name and Position | Annie Elizabeth Smith (OWNER) |
| Authorized Official Contact | 6085011629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage And Family Focus Llc 307 S Paterson St Ste 120 Madison WI 53703-3517 Ph: (608) 501-1629 | Marriage And Family Focus Llc 307 S Paterson St Ste 120 Madison WI 53703-3517 Ph: (608) 501-1629 |
| NPI Number | 1649869074 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Medicare PECOS PAC ID | 9234571829 |
|---|---|
| Medicare Enrollment ID | O20240529000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649869074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Anne Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992197859 PECOS PAC ID: 7315389913 Enrollment ID: I20240529000357 |
| Provider Name | Melinda J Grulke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114398187 PECOS PAC ID: 5799227401 Enrollment ID: I20240610002941 |
| Provider Name | Thomas Carl Breitbach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649994617 PECOS PAC ID: 9638611288 Enrollment ID: I20240611000935 |
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