Healthcare Provider Details
I. General information
NPI: 1972431229
Provider Name (Legal Business Name): KEEPERS WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2303 WYCLIFF ST STE 317
SAINT PAUL MN
55114-1278
US
IV. Provider business mailing address
2303 WYCLIFF ST STE 317
SAINT PAUL MN
55114-1278
US
V. Phone/Fax
- Phone: 651-395-4985
- Fax:
- Phone: 651-395-4985
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SARA
FRANCES RIPP
NELSON
Title or Position: CO-FOUNDER
Credential: M.P.S., LADC
Phone: 651-395-6855