Provider Demographics
NPI:1265720569
Name:MARRIAGE & FAMILY SERVICES, INC.
Entity type:Organization
Organization Name:MARRIAGE & FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MUNDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:561-503-3059
Mailing Address - Street 1:15200 JOG RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1247
Mailing Address - Country:US
Mailing Address - Phone:561-503-3059
Mailing Address - Fax:
Practice Address - Street 1:15200 JOG RD
Practice Address - Street 2:SUITE 303
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1247
Practice Address - Country:US
Practice Address - Phone:561-503-3059
Practice Address - Fax:561-634-2776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-20
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2162251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health