Wild Soul Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILD SOUL THERAPY LLC

Practice address

2700 Westhall LN Ste 203
Maitland, FL 32751-7403

Phone

(310) 733-6850

NPI assigned

Feb 12, 2026

Organization subpart

No

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

Authorized official

Name

Matthew MilitanoNPI 1578415428

Title

Managing Member

Phone

(310) 733-6850

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Matthew Militano

  • Mental Health Counselor
  • Maitland, FL
  • NPI 1578415428
  NPD Authorized official

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1639021496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 203",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 203",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517403",
            "telephone_number": "310-733-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD SOUL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "MILITANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "310-733-6850"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth L White, OT
• Jacqueline Maria Whitehill, M.A.
• Natalie A. Whitman, RN
• Amanda Wiegert, LMHC
• Elizabeth Wierzbicki
• Fredericka C Wilfong, M.DIV
• Paula N Willacy
• Paula Willette
• William J Grisaitis MD PA
• Williams Counseling and Consulting, LLC (Healing with SHaina)

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.