| The Healing Place | |
|
1503 157th Ave Ne Ham Lake MN 55304-5658 | |
| (763) 413-8142 | |
| (763) 445-2015 |
| Full Name | The Healing Place |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1503 157th Ave Ne, Ham Lake, Minnesota |
| Authorized Official Name and Position | Judith Rose Miller (DIRECTOR/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7634138142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Place 1503 157th Ave Ne Ham Lake MN 55304-5658 Ph: (763) 413-8142 | The Healing Place 1503 157th Ave Ne Ham Lake MN 55304-5658 Ph: (763) 413-8142 |
| NPI Number | 1003172909 |
|---|---|
| Provider Enumeration Date | 04/04/2012 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003172909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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