| Wellness Initiatives, Llc | |
|
11900 Wayzata Blvd Ste 209 Minnetonka MN 55305-2053 | |
| (952) 406-1090 | |
| (952) 224-5996 |
| Full Name | Wellness Initiatives, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11900 Wayzata Blvd Ste 209, Minnetonka, Minnesota |
| Authorized Official Name and Position | Helen Claire Boy (OWNER AND SOLE PROPRIETOR) |
| Authorized Official Contact | 9524061090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Initiatives, Llc 11900 Wayzata Blvd Ste 209 Minnetonka MN 55305-2053 Ph: (952) 406-1090 | Wellness Initiatives, Llc 11900 Wayzata Blvd Ste 209 Minnetonka MN 55305-2053 Ph: (952) 406-1090 |
| NPI Number | 1457861544 |
|---|---|
| Provider Enumeration Date | 10/03/2017 |
| Last Update Date | 10/03/2017 |
| Medicare PECOS PAC ID | 1052686409 |
|---|---|
| Medicare Enrollment ID | O20171016001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457861544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 16880 (Minnesota) | Primary |
| Provider Name | Helen C Boy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922168038 PECOS PAC ID: 4981766326 Enrollment ID: I20171030001318 |
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