# WILD HEART MARRIAGE & FAMILY COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wild Heart Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275346330
- **Authorized official:** MS. DEJUAN L EVANS LMFT (CEO)
- **Authorized official phone:** (323) 839-6925

## Contact information

- **Practice address:** 126 PROSPECT ST STE 210, PAWTUCKET, RI 02860-4429
- **Practice address phone:** (323) 839-6925
- **Mailing address:** PO BOX 41, NORTH ATTLEBORO, MA 02761-0041
- **Mailing address phone:** (323) 839-6925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025