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

Wild Roots Counseling LLC

Organization Mental Health Counselor · NPI 1790484889

Wild Roots Counseling LLC is a Mental Health Counselor in Cody, Wyoming. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

337 Robert St
Cody, WY 82414-9268
Phone: (307) 899-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1790484889
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jamaica Moulton — Owner · (307) 254-5048
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing addressPo Box 2772, Cody, WY 82414-2772

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