| Wild Soul Well-being Pllc | |
|
870 S Colorado Blvd # 1172 Glendale CO 80246-2080 | |
| (720) 507-8455 | |
| Not Available |
| Full Name | Wild Soul Well-being Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 870 S Colorado Blvd # 1172, Glendale, Colorado |
| Authorized Official Name and Position | Caroline Rapp (OWNER) |
| Authorized Official Contact | 7205078455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Soul Well-being Pllc 870 S Colorado Blvd # 1172 Glendale CO 80246-2080 Ph: (720) 507-8455 | Wild Soul Well-being Pllc 870 S Colorado Blvd # 1172 Glendale CO 80246-2080 Ph: (720) 507-8455 |
| NPI Number | 1629803101 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629803101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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