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

Wildwood Therapy Collective LLC

Organization Mental Health Counselor · NPI 1831989482

Wildwood Therapy Collective LLC is a Mental Health Counselor in Gibsonia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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

4032 Ewalt Rd
Gibsonia, PA 15044-9534
Phone: (802) 522-9211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11676 Perry Hwy Ste 2205, Wexford, PA 15090-7201 — (802) 522-9211

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1831989482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Edmondson — Owner · (802) 522-9211
NPI enumeratedMay 7, 2025
Last updated in NPPESMarch 6, 2026
Certification dateMarch 6, 2026
Mailing address4032 Ewalt Rd, Gibsonia, PA 15044-9534

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