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WISCONSIN LUTHERAN CHILD & FAMILY SERVICE INC. NPI 1225505829


NPI Information

NPI: 1225505829
Provider Name: WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC.
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization

CLIA Number: 52D2258626

Address:
4045 LANCER CIR
MANITOWOC, WI
ZIP 54220
Phone: (800) 438-1772
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WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC. is a marriage family therapist in Manitowoc, WI. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. WISCONSIN LUTHERAN CHILD & FAMILY SERVICE, INC. NPI is 1225505829. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4045 LANCER CIR
MANITOWOC, WI
ZIP 54220-336
Phone: (800) 438-1772
Fax: (262) 293-9737

The provider's authorized official is Linda Rangel .
The authorized official title is Insurance Coordinator and has the following contact phone number (622) 345-5533.

The CLIA number assigned to this NPI record is 52D2258626 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2018 and was last updated on 11/13/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
142171800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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