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

Wild Heart Therapy PLLC

Organization Professional Counselor · NPI 1912718883

Wild Heart Therapy PLLC is a Professional Counselor in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4537 N Leavitt St Apt 1
Chicago, IL 60625-1673
Phone: (574) 276-5018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1912718883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Reagan — Therapist · (574) 276-5018
NPI enumeratedJanuary 18, 2025
Last updated in NPPESJanuary 18, 2025
Certification dateJanuary 18, 2025
Mailing address4537 N Leavitt St Apt 1, Chicago, IL 60625-1673

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