OrganizationWholehearted Healing LlcCounselorBehavioral Health & Social Service ProvidersPractice Address6381 Osgood Ave N Bldg C, Stillwater, MN 55082-6118(507) 403-8190PECOS EnrollmentBased on the most recent information from CMS, provider Wholehearted Healing Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1255934196Provider TypeOrganizationFull NameWholehearted Healing LlcSubpartNoEnumeration Date11/20/2020Last Updated11/20/2020Contact InformationPractice LocationPractice Address6381 Osgood Ave N Bldg C, Stillwater, MN 55082-6118Phone(507) 403-8190Fax(651) 383-4544Mailing LocationMailing Address6381 Osgood Ave N Bldg C, Stillwater, MN 55082-6118Phone(507) 403-8190Fax(651) 383-4544Authorized OfficialNameKalliman, Stephanie Summer (Clinical Director And Lmft)Phone(507) 403-8190Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer