Organization Active NPI

Wildflower Wellness & Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wiggins, MS
National Provider Identifier
1699337493
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WILDFLOWER WELLNESS & COUNSELING, PLLC
Practice address
506 Calvin Dees St
Wiggins, MS 39577-2519
Phone
(601) 528-1527
NPI assigned
Jul 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Authorized official

Name
Chrystal Mitchell, LPCNPI 1730564097
Title
Owner
Phone
(601) 528-1527

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

506 Calvin Dees St
Wiggins, MS 39577-2519

Mailing address

506 Calvin Dees St
Wiggins, MS 39577-2519
Phone (601) 528-1527

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": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1699337493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CALVIN DEES ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772519",
            "telephone_number": "601-528-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 CALVIN DEES ST",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395772519",
            "telephone_number": "601-528-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER WELLNESS & COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-528-1527",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.