MEDICARE: WHOLEHEARTED HEALING SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1396636866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLEHEARTED HEALING SERVICES, LLC

Provider Business Mailing Address
First Line	:	2251 WILLENBROCK CIR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-1512
Country	:	US
Telephone Number	:	319-775-0580
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 E COLLEGE ST
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-1696
Country	:	US
Telephone Number	:	319-775-0580
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	DR. HEATHER RICKELS
Credential	:	LISW, PHD
Telephone Number	:	319-775-0580

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	07/14/2025

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