| Marriage & Family Services, Inc. | |
|
15200 Jog Rd Suite 303 Delray Beach FL 33446-1247 | |
| (561) 503-3059 | |
| (561) 634-2776 |
| Full Name | Marriage & Family Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 15200 Jog Rd, Delray Beach, Florida |
| Authorized Official Name and Position | Eric Thomas Mundt (CEO/OWNER) |
| Authorized Official Contact | 5615033059 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage & Family Services, Inc. 15200 Jog Rd Suite 303 Delray Beach FL 33446-1247 Ph: (561) 503-3059 | Marriage & Family Services, Inc. 15200 Jog Rd Suite 303 Delray Beach FL 33446-1247 Ph: (561) 503-3059 |
| NPI Number | 1265720569 |
|---|---|
| Provider Enumeration Date | 07/20/2011 |
| Last Update Date | 09/11/2024 |
| Certification Date | 09/11/2024 |
| Medicare PECOS PAC ID | 5294060984 |
|---|---|
| Medicare Enrollment ID | O20190717003445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265720569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MT2162 (Florida) | Primary |
| Provider Name | Patrick Boursiquot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952524258 PECOS PAC ID: 6103842240 Enrollment ID: I20051020000116 |
| Provider Name | Shlomit M Karasik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982763413 PECOS PAC ID: 2163663410 Enrollment ID: I20130729000659 |
| Provider Name | Milton A Kaufman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770941031 PECOS PAC ID: 7214277029 Enrollment ID: I20190314000024 |
| Provider Name | Kevin K Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396369716 PECOS PAC ID: 3678983202 Enrollment ID: I20201110000825 |
| Provider Name | Eilen Cabrera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588119234 PECOS PAC ID: 8729499926 Enrollment ID: I20201119000259 |
| Provider Name | Gil Lichtshein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245334622 PECOS PAC ID: 8527390400 Enrollment ID: I20230404000022 |
| Provider Name | Paola A Zamora |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023681491 PECOS PAC ID: 9537517487 Enrollment ID: I20231202000758 |
| Provider Name | Emily Konicki |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841968906 PECOS PAC ID: 3476901349 Enrollment ID: I20231204000526 |
| Provider Name | Justin Marx |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881301869 PECOS PAC ID: 7214386002 Enrollment ID: I20231205002207 |
| Provider Name | Ana M. Medina |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1487901898 PECOS PAC ID: 7416306048 Enrollment ID: I20231208000167 |
| Provider Name | Julieth Hoyos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750922993 PECOS PAC ID: 8123477379 Enrollment ID: I20231213000907 |
| Provider Name | Krysten Maselli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932503778 PECOS PAC ID: 2567811425 Enrollment ID: I20231218002412 |
| Provider Name | Eric Thomas Mundt |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841478567 PECOS PAC ID: 9739414426 Enrollment ID: I20231220000251 |
| Provider Name | Jaci Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205578317 PECOS PAC ID: 2769832393 Enrollment ID: I20231222001519 |
| Provider Name | Lakisha Foxworth |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790447324 PECOS PAC ID: 2961852165 Enrollment ID: I20240101000174 |
| Provider Name | Vikke Rochell Brooks |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588076251 PECOS PAC ID: 3274983291 Enrollment ID: I20240103000327 |
| Provider Name | Ashleigh Acker |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1710544804 PECOS PAC ID: 1355792789 Enrollment ID: I20240110000038 |
| Provider Name | Tammara Leticia Lewis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780399964 PECOS PAC ID: 8527419738 Enrollment ID: I20240111002066 |
| Provider Name | Bria Cassell Wonesh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992495014 PECOS PAC ID: 8729430350 Enrollment ID: I20240119001437 |
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