| Heartwood Center For Child And Family Therapy, Llc | |
|
202 E Howard St Hibbing MN 55746-1736 | |
| (218) 263-1347 | |
| (218) 263-3241 |
| Full Name | Heartwood Center For Child And Family Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 E Howard St, Hibbing, Minnesota |
| Authorized Official Name and Position | Jennifer Lee Kendall (CO-OWNER) |
| Authorized Official Contact | 2182631347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartwood Center For Child And Family Therapy, Llc 202 E Howard St Hibbing MN 55746-1736 Ph: (218) 263-1347 | Heartwood Center For Child And Family Therapy, Llc 202 E Howard St Hibbing MN 55746-1736 Ph: (218) 263-1347 |
| NPI Number | 1033622436 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 09/24/2021 |
| Certification Date | 09/24/2021 |
| Medicare PECOS PAC ID | 0143580357 |
|---|---|
| Medicare Enrollment ID | O20180208001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033622436 | NPI | - | NPPES |
| Provider Name | Beth M Prewett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952594046 PECOS PAC ID: 4486975869 Enrollment ID: I20240723001753 |
| Provider Name | Jillaine Helen Higgins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1669114955 PECOS PAC ID: 0840736997 Enrollment ID: I20240724004215 |
| Provider Name | Jennifer Kendall |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1851780712 PECOS PAC ID: 3779843982 Enrollment ID: I20240906001026 |
| Provider Name | Kelsey Unger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043625403 PECOS PAC ID: 2365980851 Enrollment ID: I20241107002526 |
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