| The Healing Place Llc | |
|
871 Jefferson Ave Saint Paul MN 55102-2506 | |
| (651) 252-1175 | |
| Not Available |
| Full Name | The Healing Place Llc |
|---|---|
| Speciality | Counselor |
| Location | 871 Jefferson Ave, Saint Paul, Minnesota |
| Authorized Official Name and Position | Vicenta D Valero-jarozewski (OWNER / LPCC) |
| Authorized Official Contact | 6512521175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Healing Place Llc 702 Van Buren Ave Saint Paul MN 55104-1660 Ph: (651) 252-1175 | The Healing Place Llc 871 Jefferson Ave Saint Paul MN 55102-2506 Ph: (651) 252-1175 |
| NPI Number | 1902593676 |
|---|---|
| Provider Enumeration Date | 04/21/2023 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 8022542018 |
|---|---|
| Medicare Enrollment ID | O20241113003137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902593676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Vicenta Del Carmen Valero-jarozewski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013661123 PECOS PAC ID: 9931633922 Enrollment ID: I20241114001369 |
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