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

Wild Magnolia Wellness

Organization Community/Behavioral Health Agency · NPI 1255820205

Wild Magnolia Wellness is a Community/Behavioral Health Agency in Los Ranchos, New Mexico. Works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2018

Practice location Address checks out

6501 4th St NW Ste H-5
Los Ranchos, NM 87107-5800
Phone: (505) 274-0112
Show map & directions

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

Additional practice locations (1)

  • 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 — (505) 433-7561

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence 0139371 (NM)

Record details

NPI number1255820205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley McKenna — Owner · (505) 274-0112
NPI enumeratedMay 4, 2018
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811

Other providers in Los Ranchos