Wild Peace Integrative Wellness Pllc

LBN: Wild Peace Integrative Wellness Pllc
Wild Peace Integrative Wellness Pllc is an health care organization with primary practice located at 2354 Wayzata Boulevard W. Suite A, Long Lake MN 55356. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Wild Peace Integrative Wellness Pllc can be contacted via phone (952) 260-8330, or through Heiser, Keely via phone (952) 260-8330.

Contact Information

Primary practice address
2354 Wayzata Boulevard W. Suite A Long Lake MN 55356
Phone: (952) 260-8330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heiser, Keely LICSW
Phone: (952) 260-8330

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1972449718
LBN Legal business name Wild Peace Integrative Wellness Pllc
DBA Doing business as
Authorized official Heiser, Keely LICSW
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2026
Last updated Jun 6th, 2026 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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