| Healing Minds Llc | |
|
905 Main St Ste 200b Klamath Falls OR 97601-6066 | |
| (541) 887-0751 | |
| Not Available |
| Full Name | Healing Minds Llc |
|---|---|
| Speciality | Counselor |
| Location | 905 Main St Ste 200b, Klamath Falls, Oregon |
| Authorized Official Name and Position | Jennifer Ellen Wheeler (DIRECTOR) |
| Authorized Official Contact | 5418870751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Minds Llc 905 Main St Ste 200b Klamath Falls OR 97601-6066 Ph: (541) 887-0751 | Healing Minds Llc 905 Main St Ste 200b Klamath Falls OR 97601-6066 Ph: (541) 887-0751 |
| NPI Number | 1477337277 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Certification Date | 08/22/2023 |
| Medicare PECOS PAC ID | 8325490675 |
|---|---|
| Medicare Enrollment ID | O20240123000635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477337277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennifer Ellen Wheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801257548 PECOS PAC ID: 6608276225 Enrollment ID: I20210617002507 |
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