| Mindful Healing And Wellness Llc | |
|
4915 S Howell Ave Ste 503 Milwaukee WI 53207-5939 | |
| (262) 282-3253 | |
| (414) 212-8988 |
| Full Name | Mindful Healing And Wellness Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4915 S Howell Ave Ste 503, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Herbert C Raasch (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 2622823253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing And Wellness Llc 4915 S Howell Ave Ste 503 Milwaukee WI 53207-5939 Ph: (262) 282-3253 | Mindful Healing And Wellness Llc 4915 S Howell Ave Ste 503 Milwaukee WI 53207-5939 Ph: (262) 282-3253 |
| NPI Number | 1649978982 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Medicare PECOS PAC ID | 5799130399 |
|---|---|
| Medicare Enrollment ID | O20231017003985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649978982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Herbert C Raasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659836609 PECOS PAC ID: 2062751332 Enrollment ID: I20190304001977 |
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