Organization
HEALING MINDS AND WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STULTS APRN (CO-OWNER)
(765) 460-6264
Entity
Organization
Contact information
Practice address
400 N BROADWAY, PERU, IN 46970-1445
(765) 460-6264
Mailing address
400 N BROADWAY, PERU, IN 46970-1445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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