# WILDLY CURATIVE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wildly Curative Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376046425
- **Authorized official:** ELISA ALLEN LPC-MHSP, NCC, CCMHC (FOUNDER)
- **Authorized official phone:** (931) 319-5348

## Contact information

- **Practice address:** 214 MAIN ST, BAXTER, TN 38544-5280
- **Practice address phone:** (931) 588-0475
- **Mailing address:** 11145 PETE CARR RIDGE RD, SILVER POINT, TN 38582-6278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018