Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dba Wild Roots Therapy

Organization Mental Health Counselor · NPI 1891629051

Dba Wild Roots Therapy is a Mental Health Counselor in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1512 S 1100 E Ste B
Salt Lake City, UT 84105-2493
Phone: (801) 231-0946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891629051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Wyld — Owner · (801) 231-0946
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address1512 S 1100 E Ste B, Salt Lake City, UT 84105-2493

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