| Restorative Healing & Counseling, Llc | |
|
385 Londin Place St. Paul MN 55119 | |
| (651) 414-1139 | |
| Not Available |
| Full Name | Restorative Healing & Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 385 Londin Place, St. Paul, Minnesota |
| Authorized Official Name and Position | Melanie Marie Bayer Witthoft (OWNER) |
| Authorized Official Contact | 6514141139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorative Healing & Counseling, Llc 8362 Tamarack Vlg Ste 119 Woodbury MN 55125-3392 Ph: (651) 414-1139 | Restorative Healing & Counseling, Llc 385 Londin Place St. Paul MN 55119 Ph: (651) 414-1139 |
| NPI Number | 1811520307 |
|---|---|
| Provider Enumeration Date | 02/13/2020 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Medicare PECOS PAC ID | 9032537964 |
|---|---|
| Medicare Enrollment ID | O20200909002399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811520307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melanie Bayer Witthoft |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023426210 PECOS PAC ID: 0547688475 Enrollment ID: I20201013001261 |
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