| Integrations Wellness & Recovery Center, Llc | |
|
1135 Highway 7 W Hutchinson MN 55350-1511 | |
| (320) 434-1312 | |
| (651) 925-0087 |
| Full Name | Integrations Wellness & Recovery Center, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1135 Highway 7 W, Hutchinson, Minnesota |
| Authorized Official Name and Position | Jill M Decker (COO, TREATMENT DIRECT, MS, LPCC) |
| Authorized Official Contact | 3204341312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrations Wellness & Recovery Center, Llc Po Box 683 Hutchinson MN 55350-0683 Ph: (320) 434-1312 | Integrations Wellness & Recovery Center, Llc 1135 Highway 7 W Hutchinson MN 55350-1511 Ph: (320) 434-1312 |
| NPI Number | 1053603167 |
|---|---|
| Provider Enumeration Date | 05/08/2011 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Medicare PECOS PAC ID | 6204377096 |
|---|---|
| Medicare Enrollment ID | O20240919003444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053603167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
| Provider Name | Jill M Decker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629282645 PECOS PAC ID: 5294276085 Enrollment ID: I20240919003579 |
| Provider Name | Richard L Decker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215141304 PECOS PAC ID: 6103367990 Enrollment ID: I20241021001782 |
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