| Center For Healing And Wellness Pllc | |
|
207 W Jefferson St Ste 315 Bloomington IL 61701-3969 | |
| (309) 220-8689 | |
| Not Available |
| Full Name | Center For Healing And Wellness Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 207 W Jefferson St Ste 315, Bloomington, Illinois |
| Authorized Official Name and Position | Elizabeth Johnston (OWNER OF PRACTICE) |
| Authorized Official Contact | 3092208689 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Healing And Wellness Pllc 207 W Jefferson St Ste 315 Bloomington IL 61701-3969 Ph: (309) 220-8689 | Center For Healing And Wellness Pllc 207 W Jefferson St Ste 315 Bloomington IL 61701-3969 Ph: (309) 220-8689 |
| NPI Number | 1598469223 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 2961868872 |
|---|---|
| Medicare Enrollment ID | O20230519000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598469223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth S Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821327289 PECOS PAC ID: 1850634288 Enrollment ID: I20190528001140 |
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