| Healing Wounds Healthcare Llc | |
|
1089 Chestnut St Clermont FL 34711-2828 | |
| (352) 499-1372 | |
| Not Available |
| Full Name | Healing Wounds Healthcare Llc |
|---|---|
| Speciality | Counselor |
| Location | 1089 Chestnut St, Clermont, Florida |
| Authorized Official Name and Position | Cherie Burgess (OWNER) |
| Authorized Official Contact | 3524991372 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Wounds Healthcare Llc 1089 Chestnut St Clermont FL 34711-2828 Ph: (352) 499-1372 | Healing Wounds Healthcare Llc 1089 Chestnut St Clermont FL 34711-2828 Ph: (352) 499-1372 |
| NPI Number | 1215679246 |
|---|---|
| Provider Enumeration Date | 04/11/2022 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7719339563 |
|---|---|
| Medicare Enrollment ID | O20240117004533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215679246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Cherie Burgess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639568736 PECOS PAC ID: 7315399144 Enrollment ID: I20240117003556 |
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