Wildwood Therapy Collective LLC
Counselor, Mental Health in Gibsonia, PA. Organization (NPI-2).
NPI number1831989482
StatusActive
Last updated in NPPESMar 6, 2026
Details
- NPI
- 1831989482
- Entity type
- Organization (NPI-2)
- Legal business name
- Wildwood Therapy Collective LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2025
- Certification date
- Mar 6, 2026
- Last updated
- Mar 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
4032 Ewalt RdGibsonia, PA 15044-9534
Phone 802-522-9211
Mailing address
4032 Ewalt RdGibsonia, PA 15044-9534
Phone 802-522-9211
Other practice locations
11676 Perry Hwy Ste 2205
Wexford, PA 15090-7201
Wexford, PA 15090-7201
Phone 802-522-9211
Authorized official
Jacob Edmondson
Owner
8025229211
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