Healthcare Provider Details

I. General information

NPI: 1407927981
Provider Name (Legal Business Name): HEALERS' HEART INTEGRATIVE HEALTH CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3180 TREGO CT
WEST LAFAYETTE BRA IN
47906-8823
US

IV. Provider business mailing address

PO BOX 2219
WEST LAFAYETTE BRA IN
47996-2219
US

V. Phone/Fax

Practice location:
  • Phone: 765-497-2266
  • Fax:
Mailing address:
  • Phone: 765-497-2266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01054130A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002009A
License Number StateIN

VIII. Authorized Official

Name: DR. BRENDA A. STEIN
Title or Position: PRESIDENT OF HEALERS' HEART
Credential: M.D.
Phone: 765-497-2266