The Wild Within Counseling and Holistic Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE WILD WITHIN COUNSELING AND HOLISTIC THERAPY PLLC

Practice address

2160 E Brown Rd Ste 3
Mesa, AZ 85213-5250

Phone

(480) 528-7185

NPI assigned

Nov 4, 2024

Organization subpart

No

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

Authorized official

Name

Alicja Emilia Adamczyk Wright, MA, MSW, LCSWNPI 1700547049

Title

Owner/Therapist/Coach

Phone

(480) 528-7185

Specialties & licenses 4

Addresses

Practitioners 1

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

• Alicja Emilia a Wright, MSW, MA

  • Social Worker
  • Mesa, AZ
  • NPI 1700547049
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1952124570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 E GREENWAY ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054360",
            "telephone_number": "480-528-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 E BROWN RD STE 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852135250",
            "telephone_number": "480-528-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WILD WITHIN COUNSELING AND HOLISTIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ALICJA",
        "authorized_official_middle_name": "EMILIA ADAMCZYK",
        "authorized_official_title_or_position": "OWNER/THERAPIST/COACH",
        "authorized_official_telephone_number": "480-528-7185",
        "authorized_official_credential": "MA, MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Wild Within Counseling and Holistic Therapy Group, PLLC
• The Women's Birth and Wellness Center
• Jismi Theeyattuveli, NP
• James M Theiss, PMHNP-BC
• Jagdishkumar Thekdi
• Therapy for Developmental Disabilities

• Clinical Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.