| Wildflower Counseling Llc | |
|
125 S Sibley Ave Ste 5 Litchfield MN 55355-2831 | |
| (320) 434-3426 | |
| (320) 323-1782 |
| Full Name | Wildflower Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 125 S Sibley Ave Ste 5, Litchfield, Minnesota |
| Authorized Official Name and Position | Lindsey Greenlun (OWNER) |
| Authorized Official Contact | 3204343426 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Counseling Llc 125 S Sibley Ave Ste 5 Litchfield MN 55355-2831 Ph: (320) 434-3426 | Wildflower Counseling Llc 125 S Sibley Ave Ste 5 Litchfield MN 55355-2831 Ph: (320) 434-3426 |
| NPI Number | 1417653262 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 3173059672 |
|---|---|
| Medicare Enrollment ID | O20241206002951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417653262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lindsey Greenlun |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093161044 PECOS PAC ID: 3476997735 Enrollment ID: I20240215000618 |
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