Beloved Therapy LLC

Organization Active NPI Marriage & Family Therapist · Cambridge, WI

NPI 1790495232 · NPPES record last updated Nov 23, 2022

Key facts

NPI
1790495232
Entity type
Organization (NPI type 2)
Primary specialty
Marriage & Family Therapist 106H00000X
Legal business name
BELOVED THERAPY LLC
Practice address
414 W Main St
Cambridge, WI 53523-9144
Phone
(608) 616-5085
NPI assigned
Nov 23, 2022
Organization subpart
No

Authorized official

Name
Brenda Lovick, MDIV, MA, LMFT NPI 1376161489
Title
Owner/Psychotherapist
Phone
(608) 616-5085

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240517002564 WI Part B Supplier - Clinic/Group Practice 5799126900 Receives reassigned benefits from 1 practitioner
Practice locations: Cambridge, WI

National Provider Directory

Locations

414 W Main St
Cambridge, WI 53523
Phone (608) 616-5085

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X Yes

Addresses

Primary practice location

414 W Main St
Cambridge, WI 53523-9144

Mailing address

414 W Main St
Cambridge, WI 53523-9144
Phone (608) 616-5085

Other providers in Cambridge, WI

All providers in Cambridge, WI · Marriage & Family Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.