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

Wild Souls Ranch

Organization Community/Behavioral Health Agency · NPI 1104702570

Wild Souls Ranch is a Community/Behavioral Health Agency in Fortuna, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2870 Nelson Ln
Fortuna, CA 95540-1708
Phone: (707) 617-0356
Show map & directions

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1104702570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maya Jimenez-Osell — Executive Direction · (707) 617-0356
NPI enumeratedAugust 12, 2025
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025
Mailing address2870 Nelson Ln, Fortuna, CA 95540-1708

Other providers in Fortuna