Wildly Curative

NPI #1376046425 in Baxter, Tennessee

Provider Information

NPI Number: 1376046425
Entity Type: Organization
Organization Name: Wildly Curative
Primary Specialty: Counselor - Mental Health
Enumeration Date: Mar 15, 2018
Last Updated: Mar 15, 2018

Practice Location

Address: 214 MAIN ST
City: Baxter
State: Tennessee
ZIP Code: 38544-5280
Phone: (931) 588-0475

Authorized Official

Name: ELISA ALLEN, LPC-MHSP, NCC, CCMHC
Title: FOUNDER
Phone: (931) 319-5348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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