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CHILD, MARRIAGE & FAMILY THERAPY CLINIC
NPI 1336264829
Counselor - Professional in Racine, WI

Active since March 21, 2007
6939 MARINER DR, SUITE C, RACINE, WI 53406(262) 886-8702(262) 886-8714 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Child, Marriage & Family Therapy Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILD, MARRIAGE & FAMILY THERAPY CLINIC (NPI 1336264829) is a healthcare organization registered as a professional in Racine, Wisconsin and active in the NPI registry since March 2007. The organization lists Sharon L Johnson Visor, Owner, as its authorized official.

NPPES Registry Identity

NPI1336264829
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameCHILD, MARRIAGE & FAMILY THERAPY CLINIC
Location Address6939 MARINER DR, SUITE CRacine, WI 53406-3938
Mailing Address6939 Mariner Dr, Suite CRacine, WI 53406-3938 · (262) 886-8702 · Fax (262) 886-8714
Phone(262) 886-8702
Fax(262) 886-8714
Organization SubpartNo
Authorized OfficialSharon L Johnson VisorOwner · (262) 886-8702
Enumeration DateMarch 21, 2007
Last NPPES UpdateJune 16, 2010
✔ NPI 1336264829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 369-125✔ Licensed in WI · 947-125✔ Licensed in WI · 521-126✔ Licensed in WI · 1012-125
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1035-132 (WI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2254-123 (WI), 2031-123 (WI)
6939 MARINER DR, Racine, WI 53406
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KEITH WILLIAM GAROFALO L.AC.
Acupuncturist
6939 MARINER DR, STE D
MOUNT PLEASANT, WI 53406
Racine County (262) 822-4844
LILLIANA GARCIA MA
Counselor (Mental Health)
6939 MARINER DR, SUITE C
RACINE, WI 53406
Racine County (262) 886-8702
ALICE FAYE PORTIS-PATTERSON MSW
Counselor (Mental Health)
6939 MARINER DR, SUITE C
RACINE, WI 53406
Racine County (262) 886-8702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Child, Marriage & Family Therapy Clinic's NPI number?

The NPI number for Child, Marriage & Family Therapy Clinic is 1336264829. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Child, Marriage & Family Therapy Clinic located?

Child, Marriage & Family Therapy Clinic is located at 6939 Mariner Dr Suite C, Racine, WI 53406. The listed phone number is (262) 886-8702.

What is Child, Marriage & Family Therapy Clinic's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Child, Marriage & Family Therapy Clinic was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.