| Mindful Healing | |
|
335 Wrigley Dr Lake Geneva WI 53147-2034 | |
| (414) 899-0793 | |
| Not Available |
| Full Name | Mindful Healing |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 335 Wrigley Dr, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Ashly Marie Witkowiak (CO-OWNER) |
| Authorized Official Contact | 4148990793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing 335 Wrigley Dr Lake Geneva WI 53147-2034 Ph: (414) 899-0793 | Mindful Healing 335 Wrigley Dr Lake Geneva WI 53147-2034 Ph: (414) 899-0793 |
| NPI Number | 1265186787 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265186787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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