| Wholehearted Healing Llc | |
|
15600 Wayzata Blvd Ste 209 Wayzata MN 55391-1437 | |
| (612) 351-7576 | |
| (651) 383-4544 |
| Full Name | Wholehearted Healing Llc |
|---|---|
| Speciality | Counselor |
| Location | 15600 Wayzata Blvd Ste 209, Wayzata, Minnesota |
| Authorized Official Name and Position | Stephanie Poferl (OFFICE MANAGER) |
| Authorized Official Contact | 6123517576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholehearted Healing Llc 15600 Wayzata Blvd Ste 209 Wayzata MN 55391-1437 Ph: (612) 351-7576 | Wholehearted Healing Llc 15600 Wayzata Blvd Ste 209 Wayzata MN 55391-1437 Ph: (612) 351-7576 |
| NPI Number | 1255934196 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 04/07/2026 |
| Certification Date | 04/07/2026 |
| 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 |
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