# WILD HERON PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104636968
- **Authorized official:** ELIZA KATE WICKS-ARSHACK LCSW (OWNER, THERAPIST)
- **Authorized official phone:** (917) 664-6582

## Contact information

- **Practice address:** 91 BUENA VISTA DR, GUNNISON, CO 81230-8741
- **Practice address phone:** (917) 664-6582
- **Mailing address:** 38169 US HIGHWAY 50, GUNNISON, CO 81230-8730
- **Mailing address phone:** (917) 664-6582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 01/13/2025
- **Last updated:** 09/22/2026