Wildwood Mental Health Llc

LBN: Wildwood Mental Health Llc
Wildwood Mental Health Llc is an health care organization with primary practice located at 204 Nw 1St Ave Ste 4 , Grand Rapids MN 55744-2749. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Wildwood Mental Health Llc can be contacted via phone (218) 301-6278, or through Litchke Herdman, Tabbatha via phone (218) 301-6278.

Contact Information

Primary practice address
204 Nw 1St Ave Ste 4 Grand Rapids MN 55744-2749
Phone: (218) 301-6278
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Litchke Herdman, Tabbatha
Phone: (218) 301-6278

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1811613599
LBN Legal business name Wildwood Mental Health Llc
DBA Doing business as
Authorized official Litchke Herdman, Tabbatha
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2022
Last updated Jan 12th, 2023 - about last year

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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