| Human Wellness Collective Llc | |
|
1127 E Winona Ave Warsaw IN 46580-4606 | |
| (407) 920-5398 | |
| Not Available |
| Full Name | Human Wellness Collective Llc |
|---|---|
| Speciality | Counselor |
| Location | 1127 E Winona Ave, Warsaw, Indiana |
| Authorized Official Name and Position | Tyler James Zielasko (THERAPIST/OWNER) |
| Authorized Official Contact | 4079205398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Wellness Collective Llc 1127 E Winona Ave Warsaw IN 46580-4606 Ph: () - | Human Wellness Collective Llc 1127 E Winona Ave Warsaw IN 46580-4606 Ph: (407) 920-5398 |
| NPI Number | 1740850528 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/25/2021 |
| Medicare PECOS PAC ID | 2567812308 |
|---|---|
| Medicare Enrollment ID | O20231220001601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740850528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Gabriel P Koser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063923456 PECOS PAC ID: 9739539578 Enrollment ID: I20231220001718 |
| Provider Name | Tyler James Zielasko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669526653 PECOS PAC ID: 8820448665 Enrollment ID: I20240109001789 |
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