| Wishing Well Therapy Services | |
|
7760 Excelsior Rd Ste 104 Baxter MN 56425-9768 | |
| (218) 851-1450 | |
| Not Available |
| Full Name | Wishing Well Therapy Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 7760 Excelsior Rd Ste 104, Baxter, Minnesota |
| Authorized Official Name and Position | Miranda Joy Aulie (OWNER, THERAPIST) |
| Authorized Official Contact | 2188511450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wishing Well Therapy Services 7760 Excelsior Rd Ste 104 Baxter MN 56425-9768 Ph: (218) 851-1450 | Wishing Well Therapy Services 7760 Excelsior Rd Ste 104 Baxter MN 56425-9768 Ph: (218) 851-1450 |
| NPI Number | 1427827054 |
|---|---|
| Provider Enumeration Date | 12/22/2023 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427827054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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