| Wild Heart Wellness Pllc | |
|
215 S Hancock St Pentwater MI 49449-8799 | |
| (616) 893-0054 | |
| Not Available |
| Full Name | Wild Heart Wellness Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 215 S Hancock St, Pentwater, Michigan |
| Authorized Official Name and Position | Jennifer Swanger (OWNER) |
| Authorized Official Contact | 6168930054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Heart Wellness Pllc Po Box 227 Pentwater MI 49449-0227 Ph: () - | Wild Heart Wellness Pllc 215 S Hancock St Pentwater MI 49449-8799 Ph: (616) 893-0054 |
| NPI Number | 1982477105 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982477105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |