Wild Heron Pllc

NPI #1104636968 in Gunnison, Colorado

Provider Information

NPI Number: 1104636968
Entity Type: Organization
Organization Name: Wild Heron Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 13, 2025
Last Updated: Jan 13, 2025

Practice Location

Address: 38169 US HIGHWAY 50
City: Gunnison
State: Colorado
ZIP Code: 81230-8730
Phone: (917) 664-6582

Authorized Official

Name: ELIZA KATE WICKS-ARSHACK, LCSW
Title: OWNER, THERAPIST
Phone: (917) 664-6582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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