NPI Registry.org

Wilder Wellness

NPI Registration Record

Provider / OrganizationNPIDate Certified
WILDER WELLNESS18612430652024-11-10

The organization Wilder Wellness is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1861243065. Registration indicates Wilder Wellness is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationWILDER WELLNESS
Practice Office Address1114 THOMASVILLE RD STE W
TALLAHASSEE, FL US
Practice Office Telephone8502730199
Practice Office Fax8507922491
Mailing Address1114 THOMASVILLE RD STE W
TALLAHASSEE, FL 323036273 US
Business Telephone8502730199
Business Fax8507922491
Authorized OfficialKIMBERLY DIANE WILDER, FOUNDER
8502730199
HPT Codes
CodePractice
License No
State
261QM0801X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Mental Health (Including Community Mental Health Center),

Community Mental Health Center

Clinic/Center Mental Health (Including Community Mental Health Center),
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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