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

Wildroots Mental Health & Wellness, PLLC

Organization Psychologist · NPI 1871443515

Wildroots Mental Health & Wellness, PLLC is a Psychologist in Lincoln Park, Michigan. Registered with an NPI since 2026.

In the registry since
2026
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

1821 White Ave
Lincoln Park, MI 48146-2254
Phone: (313) 720-0052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1871443515
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Dematteo — Owner · (313) 720-0052
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026
Mailing address1821 White Ave, Lincoln Park, MI 48146-2254

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