| Healing Roots Counseling | |
|
3200 Highland Ave Wayzata MN 55391-2863 | |
| (612) 505-0815 | |
| Not Available |
| Full Name | Healing Roots Counseling |
|---|---|
| Speciality | Counselor |
| Location | 3200 Highland Ave, Wayzata, Minnesota |
| Authorized Official Name and Position | Rebecca Jean Hines (OWNER/COUNSELOR) |
| Authorized Official Contact | 6125050815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Roots Counseling 3200 Highland Ave Wayzata MN 55391-2863 Ph: (612) 505-0815 | Healing Roots Counseling 3200 Highland Ave Wayzata MN 55391-2863 Ph: (612) 505-0815 |
| NPI Number | 1497468060 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Medicare PECOS PAC ID | 6305361221 |
|---|---|
| Medicare Enrollment ID | O20250423000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497468060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Jean Hines |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326583626 PECOS PAC ID: 1052844461 Enrollment ID: I20241023004349 |
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