Organization
WILD PEACE INTEGRATIVE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEELY HEISER LICSW (ORGANIZER)
(570) 903-1133
Entity
Organization
Contact information
Practice address
2378 WILSHIRE BLVD, MOUND, MN 55364-1652
(570) 903-1133
Mailing address
5687 MAIN ST W, MAPLE PLAIN, MN 55359-9533
(570) 903-1133
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
04/24/2026
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