MEDICAL FAMILY THERAPY LLC (NPI# 1043453541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453541 |
| Entity Type | Organization |
| Organization Name | MEDICAL FAMILY THERAPY LLC |
| Practice Address |
818 State St Boyne City MI 49712-9179 |
| Practice Telephone | 2315782006 |
| Mailing Telephone | 2315782006 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |
| Authorized Official Name | MS. LAURIE A ANGER (PRESIDENT) |
| Authorized Official Telephone | 2315782006 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704156640 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
818 STATE ST |
| City | BOYNE CITY |
| State | MI |
| Zip Code | 49712-9179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760319 | Pyramid of Hope Counseling, LLC | Counselor | 5 W. Main Street, Unit #3, Boyne City, MI 49712 | 2017-10-05 |
| 1992115679 | Rebecca L Dionne | Counselor | 101 River Street, Suite 100, Boyne City, MI 49712 | 2014-05-02 |
| 1255516597 | James Edward Straley | Dentist | 202 North Lake Street, Boyne City, MI 49712 | 2008-01-06 |
| 1538208657 | Edward Allan Fritch Jr. | Family Medicine | 719d N Lake St, Boyne City, MI 49712 | 2007-02-05 |
| 1992856884 | Christopher Fair | Chiropractor | 200 Air Industrial Park Drive, Boyne City, MI 49712 | 2007-01-16 |
| 1851371124 | Dennis Edward Kirkby | Dentist | 112 E Main St, Boyne City, MI 49712 | 2006-01-20 |
| 1417935040 | Carrie Jean-borowski Bollmann | Nurse Practitioner | 1249 M-75 South, Boyne City, MI 49712 | 2006-01-04 |
| 1588150064 | Echocardiography On Wheels, Lc | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-07 |
| 1811483571 | Tiffany Marie Faulknor | Spec/Tech, Cardiovascular | 120 Water St, Boyne City, MI 49712 | 2018-07-05 |
| 1679631923 | Boyne City Dental | Dentist | 830 State St, Boyne City, MI 49712 | 2006-12-05 |
| Find all providers in zip 49712 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
| City | BOYNE CITY |
| Zip Code | 49712 |
Please comment or provide details below to improve the information on MEDICAL FAMILY THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.