National Provider Identifier Database

HEARTLAND WELLNESS GROUP PLLC
Professional


Contact Information

HEARTLAND WELLNESS GROUP PLLC
12157 W CEDAR DR STE 200
LAKEWOOD, CO80228-2105
Phone: 303-325-5617
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Addiction (Substance Use Disorder) 101YA0400X
Pastoral 101YP1600X
School 101YS0200X

* Indicates primary specialty

NPI Profile & details for HEARTLAND WELLNESS GROUP PLLC

NPI Number 1639993157
Legal business name
LBN
HEARTLAND WELLNESS GROUP PLLC
Authorized official SUJATHA REDDY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/12/2024
Last updated 11/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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