Organization
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Active
Parent organization
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARRIAGE & FAMILY HEALTH SERVICES, LTD
Authorized official
DR. THOMAS E JOHNSTON PHD (DIRECTOR/OWNER)
(715) 832-0238
Entity
Organization
Contact information
Practice address
501 S CHERRY AVE, MARSHFIELD, WI 54449-4263
(715) 486-8302
(715) 486-9253
Mailing address
2925 MONDOVI RD, EAU CLAIRE, WI 54701-6141
(715) 832-0238
(715) 832-0771
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223799
MHN/TRICARE INSURANCE CO
WI
05
—
43008700
—
WI
Enumeration date
05/02/2008
Last updated
08/12/2024
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