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Wild Heart Society Pllc
Adolescent and Children Mental Health Clinic/Center in Vancouver, Washington
NPI 1700344298

Wild Heart Society Pllc is an Adolescent and Children Mental Health Clinic/Center based in Vancouver, WA and is specialized in Adolescent and Children Mental Health. Wild Heart Society Pllc practices in Vancouver, WA. The NPI Number for Wild Heart Society Pllc is 1700344298 and holds a License No. (Washington).

The current practice location address for Wild Heart Society Pllc is 15604 Ne 28Th Ave, Vancouver, WA and can be reached out via phone at 360-521-3055. You can also correspond with Wild Heart Society Pllc through the mailing address at 15604 NE 28TH AVE, VANCOUVER, WA - 98686-1541 (mailing address contact number: ).

Location: 15604 Ne 28Th Ave, Vancouver, WA, 98686-1541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700344298
Provider Name
Wild Heart Society Pllc
Credential
Provider Entity Type
Organization
Address
15604 Ne 28Th Ave, Vancouver, WA, 98686-1541
Phone Number
360-521-3055
Fax Number
Provider Enumeration Date
03/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15604 Ne 28Th Ave
City
Vancouver
State
Washington
Zip
98686-1541
Phone Number
360-521-3055
Fax Number
person
Provider Business Mailing Address Details
Address
15604 Ne 28Th Ave
City
Vancouver
State
Washington
Zip
98686-1541
Phone Number
360-521-3055
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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