Wild Mind Therapy PLLC
Wild Mind Therapy PLLC is a Clinical Social Worker in Wilson, New York. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4648 Ide RdWilson, NY 14172-9758
Phone: (716) 727-8803
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|
Record details
| NPI number | 1437965100 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Wrazin — President · (716) 727-8803 |
| NPI enumerated | December 9, 2024 |
| Last updated in NPPES | December 9, 2024 |
| Certification date | November 17, 2024 |
| Mailing address | 4662 Ide Rd, Wilson, NY 14172-9758 |