| Marriage and Family Therapy Center | |
|
223 S Main St Galax VA 24333-3911 | |
| (276) 236-8888 | |
| Not Available |
| Full Name | Marriage and Family Therapy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 223 S Main St, Galax, Virginia |
| Authorized Official Name and Position | Bryan Lindberg (PROVIDER/OWNER) |
| Authorized Official Contact | 2762368888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marriage and Family Therapy Center 223 S Main St Galax VA 24333-3911 | Marriage and Family Therapy Center 223 S Main St Galax VA 24333-3911 Ph: (276) 236-8888 |
| NPI Number | 1689383754 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689383754 | NPI | - | NPPES |
| 004945298 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (NU) | Secondary |
| 106H00000X | Marriage & Family Therapist | (NU) | Secondary |
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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