Organization
HEALING & RESTORATION CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA N GIVENS-HENRY LICSW (CLINICAL DIRECTOR)
(612) 916-0945
Entity
Organization
Contact information
Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(612) 216-1114
Mailing address
18397 CHENNAULT WAY, EDEN PRAIRIE, MN 55346-1124
(612) 916-0945
(952) 388-2526
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
10/17/2019
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