| Healing Center Llc | |
|
226 Wyandotte Rd Hoyt Lakes MN 55750-1226 | |
| (218) 248-0598 | |
| Not Available |
| Full Name | Healing Center Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 226 Wyandotte Rd, Hoyt Lakes, Minnesota |
| Authorized Official Name and Position | Jennifer Rose Elmberg (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2182480598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Center Llc 226 Wyandotte Rd Hoyt Lakes MN 55750-1226 Ph: (218) 248-0598 | Healing Center Llc 226 Wyandotte Rd Hoyt Lakes MN 55750-1226 Ph: (218) 248-0598 |
| NPI Number | 1598282899 |
|---|---|
| Provider Enumeration Date | 08/28/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598282899 | NPI | - | NPPES |
| 1699861229 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 25870 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12247 (Minnesota) | Primary |