Wildroots Collective

LBN: Wildroots Collective
Wildroots Collective is an health care organization with primary practice located at 430 B Street , Bedford WY 83112-9901. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Wildroots Collective can be contacted via phone (406) 212-2456, or through Mowbray, Karelia via phone (406) 212-2456.

Contact Information

Primary practice address
430 B Street Bedford WY 83112-9901
Phone: (406) 212-2456
Fax: (307) 333-0843
Website:
Map and Directions
Authorized official contact:
Name: Mowbray, Karelia LCPC
Phone: (406) 212-2456

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1538947353
LBN Legal business name Wildroots Collective
DBA Doing business as
Authorized official Mowbray, Karelia LCPC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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