Organization · NPI-2

Healing Minds And Wellness Center, LLC

Family Medicine · Peru, IN

NPI number1306500046
StatusActive
Last updated in NPPESOct 28, 2021

Details

NPI
1306500046
Entity type
Organization (NPI-2)
Legal business name
Healing Minds And Wellness Center, LLC
Organization subpart
No
Enumeration date
Oct 28, 2021
Certification date
Oct 28, 2021
Last updated
Oct 28, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

400 N Broadway
Peru, IN 46970-1445

Phone 765-460-6264

Mailing address

400 N Broadway
Peru, IN 46970-1445

Authorized official

Lisa Stults
Co-Owner
7654606264

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