| Wilder Wellness Pllc | |
|
5700 Balcones Dr Ste 100 Austin TX 78731-4204 | |
| (512) 710-7853 | |
| Not Available |
| Full Name | Wilder Wellness Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5700 Balcones Dr Ste 100, Austin, Texas |
| Authorized Official Name and Position | Lacie Hamilton (OWNER) |
| Authorized Official Contact | 9725891019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Wellness Pllc 3544 S Fm 620 Rd Apt 14302 Austin TX 78738-0032 Ph: () - | Wilder Wellness Pllc 5700 Balcones Dr Ste 100 Austin TX 78731-4204 Ph: (512) 710-7853 |
| NPI Number | 1285440941 |
|---|---|
| Provider Enumeration Date | 12/07/2024 |
| Last Update Date | 12/07/2024 |
| Certification Date | 12/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285440941 | NPI | - | NPPES |
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