Organization Active NPI

Wildflower Behavioral Consulting, LLC.

  • Community/Behavioral Health Agency
  • West Melbourne, FL
National Provider Identifier
1417704149
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WILDFLOWER BEHAVIORAL CONSULTING, LLC.
Doing business as
Wildflower Behavioral Consulting, LLC.
Practice address
2607 Ventura Cir
West Melbourne, FL 32904-7468
Phone
(904) 240-6800
NPI assigned
May 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Amelia Skye Nelson, BCBANPI 1083070577
Title
Owner
Phone
(904) 240-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2607 Ventura Cir
West Melbourne, FL 32904-7468

Mailing address

2607 Ventura Cir
West Melbourne, FL 32904-7468
Phone (904) 240-6800

Other names 1

  • Wildflower Behavioral Consulting, LLC. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1417704149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 VENTURA CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047468",
            "telephone_number": "904-240-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 VENTURA CIR",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329047468",
            "telephone_number": "904-240-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER BEHAVIORAL CONSULTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "SKYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-240-6800",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Behavioral Consulting, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.