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

Wild Heart Marriage & Family Counseling

Organization Marriage & Family Therapist · NPI 1275346330

Wild Heart Marriage & Family Counseling is a Marriage & Family Therapist in Pawtucket, Rhode Island. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

126 Prospect St Ste 210
Pawtucket, RI 02860-4429
Phone: (323) 839-6925
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X

Record details

NPI number1275346330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dejuan Evans — Ceo · (323) 839-6925
Other names Wild Heart Counseling
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing addressPo Box 41, North Attleboro, MA 02761-0041

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