Wilder Wellness Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

WILDER WELLNESS CENTER

Practice address

807 Williamson Rd Ste 202
Mooresville, NC 28117-8560

Phone

(704) 912-4236

NPI assigned

Apr 3, 2025

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) 456-5901

Specialties & licenses 1

Addresses

Other names 1

• William F. Wilder III Other name

Locations

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1063216414",
    "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": "807 WILLIAMSON RD STE 202",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178560",
            "telephone_number": "704-912-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDER WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2026-09-10",
        "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": "704-456-5901",
        "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": [
        {
            "organization_name": "William F. Wilder III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheila Thornton Whitman, FNP
• Jillian Elizabeth Wiggill, MSOT, OTR
• Peggy Lynn Wike, O.D.
• Sydney Wilson Wike, COTA/L
• Brittany Marie Wilber, OT/L
• Hannah Kathryn Wilder
• William Frank Wilder III, M.A., LPC
• Kayla Anne Wiley, OTD, OTR/L
• Lori Major Wilkinson, PHARMD
• William Collins Wilkinson, MSW, LCSWA

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, 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 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.