Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Pastoral |
101YP1600X | |||
School |
101YS0200X |
| NPI # | 1639993157 |
| LBN Legal business name | HEARTLAND WELLNESS GROUP PLLC |
| Authorized official | SUJATHA REDDY - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/12/2024 |
| Last updated | 11/12/2024 - More than a year ago |
| Identifiers | n/a |
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HEARTLAND WELLNESS GROUP PLLC
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