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Organization
WILDLY CURATIVE
Active
Organization
WILDLY CURATIVE
Active
Other names
Wildly Curative Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA ALLEN LPC-MHSP, NCC, CCMHC (FOUNDER)
(931) 319-5348
Entity
Organization
Contact information
Practice address
214 MAIN ST, BAXTER, TN 38544-5280
(931) 588-0475
Mailing address
11145 PETE CARR RIDGE RD, SILVER POINT, TN 38582-6278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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