# WILD MINDS COUNSELING LLC

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

## Provider details

- **NPI number:** 1255255923
- **Authorized official:** VANESSA BLAIS O'SHEA LICSW (OWNER)
- **Authorized official phone:** (802) 234-1109

## Contact information

- **Practice address:** 105 E SHORE N, GRAND ISLE, VT 05458-2348
- **Practice address phone:** (802) 234-1109
- **Practice address fax:** (802) 419-9557
- **Mailing address:** PO BOX 512, SOUTH HERO, VT 05486-0512
- **Mailing address phone:** (802) 234-1109
- **Mailing address fax:** (802) 419-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2026
- **Last updated:** 08/06/2026