WILD HEART SOCIETY PLLC NPI 1700344298

NPI Information

WILD HEART SOCIETY PLLC is an adolescent and children mental health clinic center in Vancouver, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. WILD HEART SOCIETY PLLC NPI is 1700344298. The provider is registered as an organization entity type.

The provider's business location address is:

15604 NE 28TH AVE
VANCOUVER, WA
ZIP 98686-541
Phone: (360) 521-3055

The provider's authorized official is Mackenzie Dunham .
The authorized official title is Partner/therapist and has the following contact phone number (360) 521-3055.

The enumeration date for this NPI number is 3/4/2019 and was last updated on 3/4/2019.

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:

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