Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wild Peace Integrative Wellness PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1972449718

Wild Peace Integrative Wellness PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Long Lake, Minnesota. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2354 Wayzata Blvd W Ste A
Long Lake, MN 55356
Phone: (952) 260-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1972449718
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keely Heiser — Organizer · (952) 260-8330
NPI enumeratedApril 24, 2026
Last updated in NPPESJune 6, 2026
Certification dateJune 6, 2026
Mailing address2354 W Wayzata Blvd Ste A, Long Lake, MN 55356-2602

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