Healthcare Provider Details

I. General information

NPI: 1821989310
Provider Name (Legal Business Name): MIDWEST MIND AND BODY HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N WASHINGTON ST STE A
PAPILLION NE
68046-2434
US

IV. Provider business mailing address

7427 CASTLE ST
PAPILLION NE
68046-4716
US

V. Phone/Fax

Practice location:
  • Phone: 531-217-5257
  • Fax:
Mailing address:
  • Phone: 531-217-5257
  • Fax: 949-864-3749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY A WOHLWEND
Title or Position: OWNER, NURSE PRACTITIONER
Credential: FNP-BC, PMHNP-BC
Phone: 531-217-5257