| Total Wellness Partners, Pllc | |
|
2609 Thistle Ln Wauconda IL 60084-5091 | |
| (847) 208-4018 | |
| Not Available |
| Full Name | Total Wellness Partners, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2609 Thistle Ln, Wauconda, Illinois |
| Authorized Official Name and Position | Stephanie Tintner (OWNER) |
| Authorized Official Contact | 8472084018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wellness Partners, Pllc 2609 Thistle Ln Wauconda IL 60084-5091 Ph: (847) 208-4018 | Total Wellness Partners, Pllc 2609 Thistle Ln Wauconda IL 60084-5091 Ph: (847) 208-4018 |
| NPI Number | 1124753504 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 8921456260 |
|---|---|
| Medicare Enrollment ID | O20231128001849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124753504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stephanie M Tintner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720666357 PECOS PAC ID: 2062811136 Enrollment ID: I20210521000153 |
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