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Organization
WILD SPIRIT COUNSELING, LLC
Active
Organization
WILD SPIRIT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY LYNN SMITH LMHC (THERAPIST)
(641) 351-4003
Entity
Organization
Contact information
Practice address
15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
(641) 351-4003
(641) 243-2115
Mailing address
15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
(641) 351-4003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2022
Last updated
01/31/2025
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