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WILD PEACE INTEGRATIVE WELLNESS PLLC
NPI 1972449718
Clinic/Center - Mental Health (Including Community Mental Health Center) in Long Lake, MN

Active since April 24, 2026
2354 WAYZATA BOULEVARD W., SUITE A, LONG LAKE, MN 55356(952) 260-8330 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2026, May 27, 2026, Apr 24, 2026 (3 updates tracked since 2026).

About Wild Peace Integrative Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD PEACE INTEGRATIVE WELLNESS PLLC (NPI 1972449718) is a healthcare organization registered as a mental health (including community mental health center) in Long Lake, Minnesota and active in the NPI registry since April 2026. The organization lists Keely Heiser, Organizer, as its authorized official.

NPPES Registry Identity

NPI1972449718
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameWILD PEACE INTEGRATIVE WELLNESS PLLC
Location Address2354 WAYZATA BOULEVARD W., SUITE ALong Lake, MN 55356
Mailing Address2354 W Wayzata Blvd Ste ALong Lake, MN 55356-2602 · (952) 260-8330
Phone(952) 260-8330
Organization SubpartNo
Authorized OfficialKeely HeiserOrganizer · (952) 260-8330
Enumeration DateApril 24, 2026
Last NPPES UpdateJune 6, 20263 updates tracked since enumeration
NPPES CertifiedJune 6, 2026
✔ NPI 1972449718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2354 WAYZATA BOULEVARD W., Long Lake, MN 55356
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wild Peace Integrative Wellness PLLC's NPI number?

The NPI number for Wild Peace Integrative Wellness PLLC is 1972449718. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Wild Peace Integrative Wellness PLLC located?

Wild Peace Integrative Wellness PLLC is located at 2354 Wayzata Boulevard W. Suite A, Long Lake, MN 55356. The listed phone number is (952) 260-8330.

What is Wild Peace Integrative Wellness PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Wild Peace Integrative Wellness PLLC was last updated on June 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.