# WILDFOLK COLLECTIVE LLC

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

## Provider details

- **NPI number:** 1558278556
- **Authorized official:** LINDSEY BOONE (PRESIDENT)
- **Authorized official phone:** (801) 613-2120

## Contact information

- **Practice address:** 1414 NE REVERE AVE, BEND, OR 97701-4161
- **Practice address phone:** (801) 613-2120
- **Mailing address:** 4006 FORESTDALE DR, PARK CITY, UT 84098-5949
- **Mailing address phone:** (810) 613-2130

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2026
- **Last updated:** 09/17/2026