WILD HEARTS COUNSELING LLC NPI 1104643709

NPI Information

  • NPI: 1104643709
  • Provider Name: WILD HEARTS COUNSELING LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 600 E COLONIAL DR STE 220
    ORLANDO, FL
    ZIP 32803
  • Phone: (305) 209-1198

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NPI Details

WILD HEARTS COUNSELING LLC is a clinic center in Orlando, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WILD HEARTS COUNSELING LLC NPI is 1104643709. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

600 E COLONIAL DR STE 220
ORLANDO, FL
ZIP 32803-650
Phone: (305) 209-1198

The provider's authorized official is Allie Vaknin .
The authorized official title is Owner/provider and has the following contact phone number (305) 209-1198.

The enumeration date for this NPI number is 9/24/2024 and was last updated on 9/24/2024.

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
1101YM0800XCounselorMental HealthNo
2261Q00000XClinic/CenterYes

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

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