WILDLY AUTHENTIC COUNSELING LLC NPI 1053086793

NPI Information

NPI: 1053086793
Provider Name: WILDLY AUTHENTIC COUNSELING, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL
ZIP 32223
Phone: (904) 337-9040
Get Directions

WILDLY AUTHENTIC COUNSELING, LLC is a professional counselor in Jacksonville, FL. WILDLY AUTHENTIC COUNSELING, LLC NPI is 1053086793. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL
ZIP 32223-648
Phone: (904) 337-9040

The provider's authorized official is Amy Kristine Schaet .
The authorized official title is Owner and has the following contact phone number (904) 885-8278.

The enumeration date for this NPI number is 8/13/2021 and was last updated on 11/11/2022.

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
1	101YP2500X	Counselor	Professional			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »