Organization · Type 2 NPI
Wild Soul Therapy LLC
Mental Health Counselor · Maitland, FL
NPI number
1639021496
Active
Practice location
2700 Westhall Ln Ste 203
Maitland, FL 32751-7403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
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About NPI 1639021496
Wild Soul Therapy LLC's National Provider Identifier is 1639021496, issued on Feb 12, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maitland, FL. The record was last updated on Feb 12, 2026.