| Marriage & Family Health Service, Ltd | |
|
1107 Heart Island Pkwy Rice Lake WI 54868-3900 | |
| (715) 832-0238 | |
| (715) 832-0771 |
| Full Name | Marriage & Family Health Service, Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1107 Heart Island Pkwy, Rice Lake, Wisconsin |
| Authorized Official Name and Position | Thomas E Johnston (DIRECTOR/OWNER) |
| Authorized Official Contact | 7158320238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage & Family Health Service, Ltd 2925 Mondovi Rd Eau Claire WI 54701-6141 Ph: (715) 832-0238 | Marriage & Family Health Service, Ltd 1107 Heart Island Pkwy Rice Lake WI 54868-3900 Ph: (715) 832-0238 |
| NPI Number | 1912173519 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912173519 | NPI | - | NPPES |
| 223799 | Other | WI | MHN/TRICARE INS. CO. |
| 43171526 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Wisconsin) | Primary |
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