WHOLEHEARTED HEALING LLC NPI 1255934196

NPI Information

NPI: 1255934196
Provider Name: WHOLEHEARTED HEALING LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
6381 OSGOOD AVE N BLDG C
STILLWATER, MN
ZIP 55082
Phone: (507) 403-8190
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WHOLEHEARTED HEALING LLC is a mental health counselor in Stillwater, MN. WHOLEHEARTED HEALING LLC NPI is 1255934196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6381 OSGOOD AVE N BLDG C
STILLWATER, MN
ZIP 55082-118
Phone: (507) 403-8190
Fax: (651) 383-4544

The provider's authorized official is Stephanie Summer Kalliman .
The authorized official title is Clinical Director And Lmft and has the following contact phone number (507) 403-8190.

The enumeration date for this NPI number is 11/20/2020 and was last updated on 11/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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