WILDER WELLNESS CENTER NPI 1043120926

NPI Information

  • NPI: 1043120926
  • Provider Name: WILDER WELLNESS CENTER
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 21223 CATAWBA AVE
    CORNELIUS, NC
    ZIP 28031
  • Phone: (704) 912-4236

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NPI Details

WILDER WELLNESS CENTER is a professional counselor in Cornelius, NC. WILDER WELLNESS CENTER NPI is 1043120926. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21223 CATAWBA AVE
CORNELIUS, NC
ZIP 28031-504
Phone: (704) 912-4236

The provider's authorized official is William Frank Wilder .
The authorized official title is Owner and has the following contact phone number (704) 912-4236.

The enumeration date for this NPI number is 9/11/2026 and was last updated on 9/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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