# ONE LOVE:HARMONIZING MIND, BODY, SPIRIT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629571005
- **Authorized official:** HEATHER HOFACKER LPC-IT (CO-DIRECTOR)
- **Authorized official phone:** (920) 221-6112

## Contact information

- **Practice address:** 1366 APPLETON RD, MENASHA, WI 54952-1504
- **Practice address phone:** (920) 221-6112
- **Mailing address:** 1366 APPLETON RD, MENASHA, WI 54952-1504
- **Mailing address phone:** (920) 221-6112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/13/2018
- **Last updated:** 03/13/2018