Wild Peace Integrative Wellness PLLC
NPI 1972449718 · Mental Health Clinic/Center (Including Community Mental Health Center) · Long Lake, MN
Wild Peace Integrative Wellness PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Long Lake, MN (NPI 1972449718).
Provider details
- NPI number
- 1972449718
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keely Heiser, Organizer(952) 260-8330
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-24
- Last updated
- 2026-06-06
- Certified
- 2026-06-06
Frequently asked questions
- What is Wild Peace Integrative Wellness PLLC's NPI number?
- Wild Peace Integrative Wellness PLLC's National Provider Identifier (NPI) is 1972449718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Peace Integrative Wellness PLLC?
- Wild Peace Integrative Wellness PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Wild Peace Integrative Wellness PLLC located?
- Wild Peace Integrative Wellness PLLC's practice location on file with NPPES is 2354 Wayzata Boulevard W., Long Lake, MN 55356.
- What is Wild Peace Integrative Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Peace Integrative Wellness PLLC is (952) 260-8330.
- Who is the authorized official for Wild Peace Integrative Wellness PLLC?
- The authorized official listed on Wild Peace Integrative Wellness PLLC's NPPES record is Keely Heiser, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Peace Integrative Wellness PLLC's NPI active?
- Yes — Wild Peace Integrative Wellness PLLC's NPI (1972449718) is active in the NPPES registry as of the last update on 2026-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.