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Organization
WILDFLOWER MENTAL HEALTH COUNSELING, LLC
Active
Organization
WILDFLOWER MENTAL HEALTH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE NICOLETTE LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(772) 202-5661
Entity
Organization
Contact information
Practice address
906 DELAWARE AVE, FORT PIERCE, FL 34950-8518
(772) 202-5661
(772) 228-4309
Mailing address
1901 SW CERTOSA RD, PORT ST LUCIE, FL 34953-1369
(772) 202-5661
(772) 228-4309
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/03/2025
Last updated
08/29/2025
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