Organization
CLARA HEALING INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEO HONEYSUCKER (OFFICE MANAGER)
(414) 760-1961
Entity
Organization
Contact information
Practice address
7954 HARWOOD AVE STE 40, WAUWATOSA, WI 53213-2526
(414) 573-6891
Mailing address
3822 N 101ST ST, WAUWATOSA, WI 53222-2311
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4145736891
TELEPHONE NUMBER
WI
Enumeration date
11/12/2020
Last updated
11/12/2020
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