Wild Heart Wellness Pllc | |
215 S Hancock St Pentwater MI 49449-8799 | |
(616) 893-0054 | |
Not Available |
Full Name | Wild Heart Wellness Pllc |
---|---|
Speciality | Social Worker - Clinical |
Location | 215 S Hancock St, Pentwater, Michigan |
Authorized Official Name and Position | Jennifer Swanger (OWNER) |
Authorized Official Contact | 6168930054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wild Heart Wellness Pllc Po Box 227 Pentwater MI 49449-0227 Ph: () - | Wild Heart Wellness Pllc 215 S Hancock St Pentwater MI 49449-8799 Ph: (616) 893-0054 |
NPI Number | 1982477105 |
---|---|
Provider Enumeration Date | 10/31/2023 |
Last Update Date | 11/27/2023 |
Certification Date | 11/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982477105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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