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

Wilson Ridge LLC

Organization Mental Health Counselor · NPI 1427913649

Wilson Ridge LLC is a Mental Health Counselor in Mora, Minnesota. 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

1884 Mahogany St
Mora, MN 55051-7111
Phone: (763) 567-3875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7145 375th Ave Nw, Dalbo, MN 55017-8403 — (763) 567-3877

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1427913649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Autumn Wilson — Clinical Counselor · (763) 567-3875
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025
Mailing address7145 375th Ave Nw, Dalbo, MN 55017-8403

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