Provider Demographics
NPI:1326708223
Name:HEALING HANDS COUNSELING CENTER PLLC
Entity Type:Organization
Organization Name:HEALING HANDS COUNSELING CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WANZEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-952-6655
Mailing Address - Street 1:804 13TH ST NE
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-3586
Mailing Address - Country:US
Mailing Address - Phone:701-952-6655
Mailing Address - Fax:
Practice Address - Street 1:804 13TH ST NE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-3586
Practice Address - Country:US
Practice Address - Phone:701-952-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty