| Healing Hearts Family Counseling Center, Llc | |
|
1268 W Main St Sun Prairie WI 53590-1930 | |
| (608) 834-1122 | |
| (702) 664-6958 |
| Full Name | Healing Hearts Family Counseling Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1268 W Main St, Sun Prairie, Wisconsin |
| Authorized Official Name and Position | Amanda Field (BILLING SPECIALIST) |
| Authorized Official Contact | 6088341222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Hearts Family Counseling Center, Llc 1268 W Main St Sun Prairie WI 53590-1930 Ph: (608) 834-1122 | Healing Hearts Family Counseling Center, Llc 1268 W Main St Sun Prairie WI 53590-1930 Ph: (608) 834-1122 |
| NPI Number | 1972824571 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 07/29/2024 |
| Certification Date | 06/19/2023 |
| Medicare PECOS PAC ID | 8527280353 |
|---|---|
| Medicare Enrollment ID | O20141112000833 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972824571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Brenda S Kepler Leske |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154384006 PECOS PAC ID: 4284819178 Enrollment ID: I20110419000332 |
| Provider Name | Heather Edge |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700192135 PECOS PAC ID: 0244453835 Enrollment ID: I20140529001533 |
| Provider Name | Lauren Biro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194462291 PECOS PAC ID: 9133503741 Enrollment ID: I20220831001737 |
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