Wild Souls Therapy PLLC
Organization Active NPI Mental Health Counselor · East Olympia, WA
NPI 1750095014 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1750095014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- WILD SOULS THERAPY PLLC
- Practice address
- 8315 Normandy St SE Unit 805
East Olympia, WA 98540-1037 - Phone
- (360) 776-4968
- Fax
- (360) 326-1168
- NPI assigned
- Jan 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Sheaunna C Wolff, LMHC
- Title
- Founder
- Phone
- (360) 764-0555
Practitioners 1
National Provider Directory
Locations
8315 Normandy St SE
Unit 805
East Olympia, WA 98540
Phone (360) 776-4968
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
8315 Normandy St SE Unit 805
East Olympia, WA 98540-1037
Mailing address
PO Box 805
East Olympia, WA 98540-0805
Phone (360) 776-4968
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336759893 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Wolff@wildsoulstherapy.net | Direct | |
| Direct Messaging Address | Wolff@wildsoulstherapy.net | Direct |
Other providers in East Olympia, WA
All providers in East Olympia, WA · Mental Health Counselor in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.