| Healing Minds And Wellness Center, Llc | |
|
400 N Broadway Peru IN 46970-1445 | |
| (765) 460-6264 | |
| Not Available |
| Full Name | Healing Minds And Wellness Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Broadway, Peru, Indiana |
| Authorized Official Name and Position | Lisa Stults (CO-OWNER) |
| Authorized Official Contact | 7654606264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Minds And Wellness Center, Llc 400 N Broadway Peru IN 46970-1445 Ph: () - | Healing Minds And Wellness Center, Llc 400 N Broadway Peru IN 46970-1445 Ph: (765) 460-6264 |
| NPI Number | 1306500046 |
|---|---|
| Provider Enumeration Date | 10/28/2021 |
| Last Update Date | 10/28/2021 |
| Medicare PECOS PAC ID | 7416346143 |
|---|---|
| Medicare Enrollment ID | O20211117002752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306500046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Lana Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896210 PECOS PAC ID: 9234569930 Enrollment ID: I20200421001221 |
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