Organization · Type 2 NPI

Wild Soul Well-Being PLLC

Adult Mental Health Clinic/Center · Glendale, CO

NPI number 1629803101 Active

Practice location

870 S Colorado Blvd # 1172
Glendale, CO 80246-2080

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Another provider at this address

About NPI 1629803101

Wild Soul Well-Being PLLC's National Provider Identifier is 1629803101, issued on Sep 4, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Glendale, CO. The record was last updated on Oct 27, 2026.