Heal From Within | |
6401 205th Ave Bristol WI 53104-9730 | |
(847) 774-2264 | |
Not Available |
Full Name | Heal From Within |
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Speciality | Social Worker - Clinical |
Location | 6401 205th Ave, Bristol, Wisconsin |
Authorized Official Name and Position | Jessica Rummel Busch (OWNER) |
Authorized Official Contact | 8477742264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Heal From Within 6401 205th Ave Bristol WI 53104-9730 Ph: (847) 774-2264 | Heal From Within 6401 205th Ave Bristol WI 53104-9730 Ph: (847) 774-2264 |
NPI Number | 1033849062 |
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Provider Enumeration Date | 06/13/2022 |
Last Update Date | 06/13/2022 |
Certification Date | 06/13/2022 |
Identifier | Type | State | Issuer |
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1033849062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Optimal Health & Balance Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6925 184th Ave, Bristol, WI 53104 Phone: 262-358-2954 |