| Healing Space Llc | |
|
1184 7th St W Saint Paul MN 55102-3916 | |
| (612) 387-6848 | |
| Not Available |
| Full Name | Healing Space Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1184 7th St W, Saint Paul, Minnesota |
| Authorized Official Name and Position | Emily Beth Lewandowski (OWNER) |
| Authorized Official Contact | 6123876848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Space Llc 9237 Albano Trl Inver Grove Heights MN 55077-4544 Ph: (612) 387-6848 | Healing Space Llc 1184 7th St W Saint Paul MN 55102-3916 Ph: (612) 387-6848 |
| NPI Number | 1619738002 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 01/26/2024 |
| Certification Date | 01/26/2024 |
| Medicare PECOS PAC ID | 3173963865 |
|---|---|
| Medicare Enrollment ID | O20240429001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619738002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Emily B Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972230084 PECOS PAC ID: 8820473176 Enrollment ID: I20220922001292 |
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