WILD WITHIN WELLNESS LLC NPI 1316762701

NPI Information

  • NPI: 1316762701
  • Provider Name: WILD WITHIN WELLNESS LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 45 NW GREELEY AVE
    BEND, OR
    ZIP 97703
  • Phone: (425) 299-3097

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NPI Details

WILD WITHIN WELLNESS LLC is a mental health counselor in Bend, OR. WILD WITHIN WELLNESS LLC NPI is 1316762701. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 NW GREELEY AVE
BEND, OR
ZIP 97703-943
Phone: (425) 299-3097

The provider's authorized official is Samantha Kate Hubbell .
The authorized official title is Manager/member and has the following contact phone number (425) 299-3097.

The enumeration date for this NPI number is 11/20/2024 and was last updated on 12/13/2024.

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 HealthYes

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: 3/30/2025

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