| Marriage & Family Health Services, Ltd. | |
|
2925 Mondovi Rd Eau Claire WI 54701-6141 | |
| (715) 832-0238 | |
| (715) 832-0771 |
| Full Name | Marriage & Family Health Services, Ltd. |
|---|---|
| Speciality | Counselor |
| Location | 2925 Mondovi Rd, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Thomas E. Johnston (DIRECTOR) |
| Authorized Official Contact | 7158320238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage & Family Health Services, Ltd. 2925 Mondovi Rd Eau Claire WI 54701-6141 Ph: (715) 832-0238 | Marriage & Family Health Services, Ltd. 2925 Mondovi Rd Eau Claire WI 54701-6141 Ph: (715) 832-0238 |
| NPI Number | 1467649921 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 5799767505 |
|---|---|
| Medicare Enrollment ID | O20040604000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467649921 | NPI | - | NPPES |
| 43001900 | Medicaid | WI | |
| 48412 | Other | WI | SECURITY HEALTH PLAN |
| 43006400 | Medicaid | WI | |
| 80785 | Other | WI | SECURITY HEALTH PLAN |
| 43007100 | Medicaid | WI | |
| 31584 | Other | WI | SECURITY HEALTH PLAN |
| 42121000 | Medicaid | WI | |
| 43006300 | Medicaid | WI | |
| 43008700 | Medicaid | WI |
| Provider Name | Trina D Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295187441 PECOS PAC ID: 2264854819 Enrollment ID: I20200626002322 |
| Provider Name | Jason B Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013458553 PECOS PAC ID: 6204240088 Enrollment ID: I20210208001080 |
| Provider Name | Susan B Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831629898 PECOS PAC ID: 4981092368 Enrollment ID: I20211104001641 |
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