| Wholeness Healing Center, P.c. | |
|
525 S 9th Ave Broken Bow NE 68822-2457 | |
| (308) 872-5040 | |
| (308) 872-5060 |
| Full Name | Wholeness Healing Center, P.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 525 S 9th Ave, Broken Bow, Nebraska |
| Authorized Official Name and Position | Jane L Watson (DIRECTOR, OWNER) |
| Authorized Official Contact | 3088725040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wholeness Healing Center, P.c. 525 S 9th Ave Broken Bow NE 68822-2457 Ph: (308) 872-5040 | Wholeness Healing Center, P.c. 525 S 9th Ave Broken Bow NE 68822-2457 Ph: (308) 872-5040 |
| NPI Number | 1407944838 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407944838 | NPI | - | NPPES |
| 10025173200 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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