| 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 - Mental Health |
| 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 | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255934196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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