# WILD SPIRIT COUNSELING, LLC

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

## Provider details

- **NPI number:** 1609518810
- **Authorized official:** MRS. MISTY LYNN SMITH LMHC (THERAPIST)
- **Authorized official phone:** (641) 351-4003

## Contact information

- **Practice address:** 15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
- **Practice address phone:** (641) 351-4003
- **Practice address fax:** (641) 243-2115
- **Mailing address:** 15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
- **Mailing address phone:** (641) 351-4003

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 01/31/2025