Organization · Type 2 NPI
Wildroot Relationship Therapy PLLC
Marriage & Family Therapist · Montgomery, IL
Practice location
2335 Thunder Gulch Rd
Montgomery, IL 60538-3442
Fax (331) 226-0421
Mailing address
2472 US Highway 30, Ste B-103 PMB125
Oswego, IL 60543-8974
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | None listed |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
Another provider at this address
About NPI 1639096985
Wildroot Relationship Therapy PLLC's National Provider Identifier is 1639096985, issued on Jun 29, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Montgomery, IL. The record was last updated on Sep 18, 2026.