Organization
HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ROSE ELMBERG LGSW (OWNER/MENTAL HEALTH THERAPIST)
(218) 248-0598
Entity
Organization
Contact information
Practice address
226 WYANDOTTE RD, HOYT LAKES, MN 55750-1226
(218) 248-0598
Mailing address
226 WYANDOTTE RD, HOYT LAKES, MN 55750-1226
(218) 248-0598
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
25870
MN
1041C0700X
Clinical Social Worker
Primary
12247
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699861229
—
MN
Enumeration date
08/28/2017
Last updated
07/21/2022
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