| Healing Roots Counseling Services Llc | |
|
5788 State Road 11 Elkhorn WI 53121-3873 | |
| (262) 882-4325 | |
| (262) 429-8112 |
| Full Name | Healing Roots Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5788 State Road 11, Elkhorn, Wisconsin |
| Authorized Official Name and Position | Minuette Trumpy (OWNER) |
| Authorized Official Contact | 2628824325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Counseling Services Llc 5788 State Road 11 Elkhorn WI 53121-3873 Ph: (262) 882-4325 | Healing Roots Counseling Services Llc 5788 State Road 11 Elkhorn WI 53121-3873 Ph: (262) 882-4325 |
| NPI Number | 1427730019 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 03/07/2025 |
| Certification Date | 02/06/2025 |
| Medicare PECOS PAC ID | 7810341096 |
|---|---|
| Medicare Enrollment ID | O20230921001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427730019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Minuette M Trumpy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467817445 PECOS PAC ID: 7315344199 Enrollment ID: I20210921002326 |
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