# HEARTLAND CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316990880
- **Authorized official:** DR. DENNIS WAYNE EDWARDS PHD, LMFT (PRESIDENT)
- **Authorized official phone:** (765) 446-9898

## Contact information

- **Practice address:** 2201 FERRY ST, LAFAYETTE, IN 47904-3047
- **Practice address phone:** (765) 446-9898
- **Practice address fax:** (765) 446-9424
- **Mailing address:** 2201 FERRY ST, LAFAYETTE, IN 47904-3047
- **Mailing address phone:** (765) 446-9898
- **Mailing address fax:** (765) 446-9424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 35001121A | IN | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 07/16/2008