Walking Into Your Purpose Wellness Center LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

WALKING INTO YOUR PURPOSE WELLNESS CENTER LLC

Practice address

781 Selby Ave
Saint Paul, MN 55104-6621

Phone

(612) 364-7592

NPI assigned

Jan 13, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Natasha R Bennett

Title

Director

Phone

(612) 364-7592

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1649984642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046621",
            "telephone_number": "612-364-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SELBY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046621",
            "telephone_number": "612-364-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKING INTO YOUR PURPOSE WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-364-7592"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenya Walker, LICSW
• Kevin R Walker, MD
• Patricia F Walker, MD
• Robyn Rose Walker, MA, LPCC, LADC
• Samantha Walker, LADC-S
• Lisa Marie Walkley
• Kevin S. Wall
• Mark C Wallace, DDS
• McKenzie Wallace, STUDENT
• Shannon Marie Wallack, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.