Organization · Type 2 NPI
Wild Peace Integrative Wellness PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Long Lake, MN
NPI number
1972449718
Active
Practice location
2354 Wayzata Boulevard W., Suite A
Long Lake, MN 55356
Mailing address
2354 W Wayzata Blvd Ste A
Long Lake, MN 55356-2602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Other mental health clinic/center (including community mental health center) providers in Long Lake
About NPI 1972449718
Wild Peace Integrative Wellness PLLC's National Provider Identifier is 1972449718, issued on Apr 24, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Long Lake, MN. The record was last updated on Jun 6, 2026.