| Wild Souls Therapy Pllc | |
|
8315 Normandy St Se Unit 805 East Olympia WA 98540-1037 | |
| (360) 776-4968 | |
| (360) 326-1168 |
| Full Name | Wild Souls Therapy Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8315 Normandy St Se Unit 805, East Olympia, Washington |
| Authorized Official Name and Position | Sheaunna C Wolff (FOUNDER) |
| Authorized Official Contact | 3607640555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Souls Therapy Pllc Po Box 805 East Olympia WA 98540-0805 Ph: (360) 776-4968 | Wild Souls Therapy Pllc 8315 Normandy St Se Unit 805 East Olympia WA 98540-1037 Ph: (360) 776-4968 |
| NPI Number | 1750095014 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750095014 | NPI | - | NPPES |
| 1336759893 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |