| Wild Within Wellness Llc | |
|
45 Nw Greeley Ave Bend OR 97703-2943 | |
| (425) 299-3097 | |
| Not Available |
| Full Name | Wild Within Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 45 Nw Greeley Ave, Bend, Oregon |
| Authorized Official Name and Position | Samantha Kate Hubbell (MANAGER/MEMBER) |
| Authorized Official Contact | 4252993097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Within Wellness Llc 7 Fairfield St Augusta ME 04330-4401 Ph: (425) 299-3097 | Wild Within Wellness Llc 45 Nw Greeley Ave Bend OR 97703-2943 Ph: (425) 299-3097 |
| NPI Number | 1316762701 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 12/13/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316762701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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