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

Wild Soul Therapy LLC

Organization Mental Health Counselor · NPI 1639021496

Wild Soul Therapy LLC is a Mental Health Counselor in Maitland, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

2700 Westhall Ln Ste 203
Maitland, FL 32751-7403
Phone: (310) 733-6850
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1639021496
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matthew Militano — Managing Member · (310) 733-6850
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address2700 Westhall Ln Ste 203, Maitland, FL 32751-7403

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