| Wholehearted Healing Llc | |
|
6381 Osgood Ave N Bldg C Stillwater MN 55082-6118 | |
| (507) 403-8190 | |
| (651) 383-4544 |
| Full Name | Wholehearted Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 6381 Osgood Ave N Bldg C, Stillwater, Minnesota |
| Authorized Official Name and Position | Stephanie Summer Kalliman (CLINICAL DIRECTOR AND LMFT) |
| Authorized Official Contact | 5074038190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Healing Llc 6381 Osgood Ave N Bldg C Stillwater MN 55082-6118 Ph: (507) 403-8190 | Wholehearted Healing Llc 6381 Osgood Ave N Bldg C Stillwater MN 55082-6118 Ph: (507) 403-8190 |
| NPI Number | 1255934196 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Certification Date | 11/19/2020 |
| Medicare PECOS PAC ID | 8123543154 |
|---|---|
| Medicare Enrollment ID | O20250422002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255934196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michael Albert Weitekamp |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326644352 PECOS PAC ID: 2466978309 Enrollment ID: I20250424000394 |
| Provider Name | Elizabeth Mcmillen Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1003684036 PECOS PAC ID: 6901322189 Enrollment ID: I20250430002598 |
| Provider Name | Amber Nicole Egdorf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780120378 PECOS PAC ID: 7416473517 Enrollment ID: I20250501002275 |
| Provider Name | Blake A Bender |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639848088 PECOS PAC ID: 8628595683 Enrollment ID: I20250505000791 |
| Provider Name | Eden Broberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265190474 PECOS PAC ID: 7315465325 Enrollment ID: I20250514000681 |
| Provider Name | Carley Tolman Saravia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578338745 PECOS PAC ID: 1355869389 Enrollment ID: I20250514000873 |
| Provider Name | Hannah Blaha |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295404325 PECOS PAC ID: 7719406230 Enrollment ID: I20250528000720 |
Claudia Bertramsen, M.a., L.p. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Greeley St S, Suite 304, Stillwater, MN 55082 Phone: 651-342-1304 Fax: 651-342-1073 | |
Abijah's Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12058 55th St N, Stillwater, MN 55082 Phone: 715-379-1370 | |
Reflections Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1675 Greeley St S, Stillwater, MN 55082 Phone: 651-235-0964 | |
Canvas Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-430-2727 Fax: 651-351-3155 | |
Canvas Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Orleans St E, Stillwater, MN 55082 Phone: 651-431-0720 Fax: 651-351-3155 | |
Aurora Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 2nd St N Ste 105, Stillwater, MN 55082 Phone: 651-705-6525 |