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Organization
WILD PEACE INTEGRATIVE WELLNESS PLLC
Active
Organization
WILD PEACE INTEGRATIVE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY HEISER LICSW (ORGANIZER)
(952) 260-8330
Entity
Organization
Contact information
Practice address
2354 WAYZATA BOULEVARD W., SUITE A, LONG LAKE, MN 55356
(952) 260-8330
Mailing address
2354 W WAYZATA BLVD STE A, LONG LAKE, MN 55356-2602
(952) 260-8330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2026
Last updated
06/06/2026
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