| Healing & Restoration Consulting Llc | |
|
6385 Old Shady Oak Rd Ste 250 Eden Prairie MN 55344-7705 | |
| (612) 216-1114 | |
| Not Available |
| Full Name | Healing & Restoration Consulting Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6385 Old Shady Oak Rd Ste 250, Eden Prairie, Minnesota |
| Authorized Official Name and Position | Trina N Givens-henry (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6129160945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing & Restoration Consulting Llc 18397 Chennault Way Eden Prairie MN 55346-1124 Ph: (612) 916-0945 | Healing & Restoration Consulting Llc 6385 Old Shady Oak Rd Ste 250 Eden Prairie MN 55344-7705 Ph: (612) 216-1114 |
| NPI Number | 1841650439 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 10/17/2019 |
| Medicare PECOS PAC ID | 6002298841 |
|---|---|
| Medicare Enrollment ID | O20220727000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841650439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Trina N Givens-henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669602496 PECOS PAC ID: 9638551476 Enrollment ID: I20220802001335 |
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