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

Wild Roots Wellness, PLLC

Organization Professional Counselor · NPI 1114595600

Wild Roots Wellness, PLLC is a Professional Counselor in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
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

4500 N 32nd St Ste 201D
Phoenix, AZ 85018-3397
Phone: (480) 297-0616
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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 number1114595600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Monica Torres — Owner · (480) 297-0616
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021
Mailing address4500 N 32nd St Ste 201d, Phoenix, AZ 85018-3397

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