| Wholeness Healing Center Pc | |
|
2608 Old Fair Rd Grand Island NE 68803-5271 | |
| (308) 382-5297 | |
| (308) 382-5315 |
| Full Name | Wholeness Healing Center Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2608 Old Fair Rd, Grand Island, Nebraska |
| Authorized Official Name and Position | Michelle L Choplin (BILLING SPECIALIST) |
| Authorized Official Contact | 3083825297 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeness Healing Center Pc 3811 29th Ave Suite 5 Kearney NE 68845-1280 Ph: (308) 455-1560 | Wholeness Healing Center Pc 2608 Old Fair Rd Grand Island NE 68803-5271 Ph: (308) 382-5297 |
| NPI Number | 1912272873 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 08/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912272873 | NPI | - | NPPES |
| 10026194400 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9086 (Nebraska) | Primary |
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Wholeness Healing Center Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2608 Old Fair Rd, Grand Island, NE 68803 Phone: 308-382-5297 Fax: 308-382-5315 |