Blue Heron Wellness, LLC
NPI #1437907086 in Eau Claire, Wisconsin
Provider Information
- NPI Number
- 1437907086
- Entity Type
- Organization
- Organization Name
- Blue Heron Wellness, LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- May 8, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 515 S BARSTOW ST STE 117
- City
- Eau Claire
- State
- Wisconsin
- ZIP Code
- 54701-2618
- Phone
- (715) 229-3019
Authorized Official
- Name
- ELIZABETH CAROLINE DAVISON, LPC
- Title
- OWNER/LPC
- Phone
- (715) 229-3019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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