LISA M NOWORATZKY, MS, MFT - NPI NUMBER 1679858534

Summary

Provider Name: LISA M NOWORATZKY, MS, MFT

NPI Number: 1679858534

Clasification: Marriage & Family Therapist (106H00000X)

Address:
926 S. 8TH ST.
MANITOWOC, WI
ZIP 54220

Phone Number: (920) 645-1939



Detailed Information

Lisa M Noworatzky, MS, MFT 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. The assigned NPI number for this provider is 1679858534 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

926 S. 8TH ST.
MANITOWOC, WI
ZIP 54220
Phone: (920) 645-1939

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 106H00000X Marriage & Family Therapist 194-228 WI Yes

NPI Record

No. Field Name Field Value
1 NPI 1679858534
2 Entity Type Code 1
3 Provider Last Name Legal Name NOWORATZKY
4 Provider First Name LISA
5 Provider Middle Name M
6 Provider Credential Text MS, MFT
7 Provider Other Last Name NOWORATZKY-ANDERSON
8 Provider Other First Name LISA
9 Provider Other Middle Name M
10 Provider Other Credential Text MS, MFT
11 Provider Other Last Name Type Code 1
12 Provider First Line Business Practice Location Address 926 S. 8TH ST.
13 Provider Business Practice Location Address City Name MANITOWOC
14 Provider Business Practice Location Address State Name WI
15 Provider Business Practice Location Address Postal Code 54220
16 Provider Business Practice Location Address Country Code If outside U S US
17 Provider Business Practice Location Address Telephone Number 9206451939
18 Provider Enumeration Date 10/11/2011
19 Last Update Date 10/11/2011
20 Provider Gender Code F
21 Healthcare Provider Taxonomy Code 1 106H00000X
22 Provider License Number 1 194-228
23 Provider License Number State Code 1 WI
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Is Sole Proprietor Y

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.