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Contact Information

WILDER THERAPY AND WELLNESS LLC
134 SHARPE ST
UNIT 3
WEST GREENWICH, RI02817
 Phone: 401-921-3600
 Fax: 401-712-8659
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILDER THERAPY AND WELLNESS LLC

NPI Number 1346664505
LBN Legal business name WILDER THERAPY AND WELLNESS LLC
Authorized official HEATHER WILDER - (CLINICAL PSYCHOLOGIST/CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2014
Last updated 08/25/2025 - About 9 months ago
Identifiers
Other 1083943310 INDIVIDUAL NPI- HEATHER WILDER
Other 1891125167 INDIVIDUAL NPI- JAMI WILDER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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