Provider Demographics
NPI:1326665530
Name:MARRIAGE AND FAMILY THERAPY OF WNY, PLLC
Entity Type:Organization
Organization Name:MARRIAGE AND FAMILY THERAPY OF WNY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DARCI
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:716-998-3730
Mailing Address - Street 1:507 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1703
Mailing Address - Country:US
Mailing Address - Phone:716-241-1524
Mailing Address - Fax:716-608-1422
Practice Address - Street 1:507 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1703
Practice Address - Country:US
Practice Address - Phone:716-241-1524
Practice Address - Fax:716-608-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-03
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty