Wilder Wellness Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILDER WELLNESS CENTER

Practice address

21223 Catawba Ave
Cornelius, NC 28031-8504

Phone

(704) 912-4236

NPI assigned

Sep 11, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Frank Wilder III, LCMHC

Title

Owner

Phone

(704) 912-4236

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1043120926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21223 CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318504",
            "telephone_number": "704-912-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21223 CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318504",
            "telephone_number": "704-912-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "WILDER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-912-4236",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela M. Whiteside, MD
• Heather Whiteside
• Doris Fiorillo Wicks, RD, LDN, CNSC
• Erin Wilbanks, DDS
• Wild Bloom Wellness (Wild Bloom Counseling)
• Ashley Wilkens, FNP-BC
• Autumn Brooks Williams
• Iesha Teresa Lee Williams, LCMHC, LCAS-A,
• James Williams
• Lenee Williams, LCSW

• Professional Counselor in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.