| Wilder Wellness | |
|
1114 Thomasville Rd Ste W Tallahassee FL 32303-6273 | |
| (850) 273-0199 | |
| (850) 792-2491 |
| Full Name | Wilder Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1114 Thomasville Rd Ste W, Tallahassee, Florida |
| Authorized Official Name and Position | Kimberly Diane Wilder (FOUNDER) |
| Authorized Official Contact | 8502730199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilder Wellness 1114 Thomasville Rd Ste W Tallahassee FL 32303-6273 Ph: (850) 273-0199 | Wilder Wellness 1114 Thomasville Rd Ste W Tallahassee FL 32303-6273 Ph: (850) 273-0199 |
| NPI Number | 1861243065 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 11/10/2024 |
| Certification Date | 11/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861243065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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