| Wildflower Mental Health Counseling, Llc | |
|
906 Delaware Ave Fort Pierce FL 34950-8518 | |
| (772) 202-5661 | |
| (772) 228-4309 |
| Full Name | Wildflower Mental Health Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 906 Delaware Ave, Fort Pierce, Florida |
| Authorized Official Name and Position | Lisa Marie Nicolette (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 7722025661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildflower Mental Health Counseling, Llc 1901 Sw Certosa Rd Port St Lucie FL 34953-1369 Ph: (772) 202-5661 | Wildflower Mental Health Counseling, Llc 906 Delaware Ave Fort Pierce FL 34950-8518 Ph: (772) 202-5661 |
| NPI Number | 1669286688 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669286688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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