Healing Center Llc | |
226 Wyandotte Rd Hoyt Lakes MN 55750-1226 | |
(218) 248-0598 | |
Not Available |
Full Name | Healing Center Llc |
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Speciality | Social Worker - Clinical |
Location | 226 Wyandotte Rd, Hoyt Lakes, Minnesota |
Authorized Official Name and Position | Jennifer Rose Elmberg (OWNER/MENTAL HEALTH THERAPIST) |
Authorized Official Contact | 2182480598 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healing Center Llc 226 Wyandotte Rd Hoyt Lakes MN 55750-1226 Ph: (218) 248-0598 | Healing Center Llc 226 Wyandotte Rd Hoyt Lakes MN 55750-1226 Ph: (218) 248-0598 |
NPI Number | 1598282899 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598282899 | NPI | - | NPPES |
1699861229 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | 25870 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 12247 (Minnesota) | Primary |