SELAH WELLNESS CLINIC LLC – NPI #1649139171
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

SELAH WELLNESS CLINIC LLC is a psychiatry & neurologist located in MORA, MN. NPPES has assigned the NPI number 1649139171 to SELAH WELLNESS CLINIC LLC on January 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on May 31, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELAH WELLNESS CLINIC LLC below.

NPI Profile for
SELAH WELLNESS CLINIC LLC

NPI Number
1649139171
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELAH WELLNESS CLINIC LLC
Primary location
905 FOREST AVE E STE 150
MORA, MN 55051-1632
Phone: (320) 372-2323 Fax: (833) 651-2526
Mailing address
501 MAIN ST
SANDSTONE, MN 55072-4410
Phone: Fax:
Organization Subpart
No
Authorized Official
TINA KELLER
VP COMPLIANCE
Phone: (320) 372-2323
Updated
Certification Date
May 31, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.