# WILD SEED PSYCH, PLLC

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

## Provider details

- **NPI number:** 1871287847
- **Authorized official:** CYMANDE BAXTER-ROGERS ARNP (OWNER, LEAD CLINICIAN)
- **Authorized official phone:** (603) 630-7063

## Contact information

- **Practice address:** 140 BEARCAMP POND RD, SOUTH TAMWORTH, NH 03883-3402
- **Practice address phone:** (603) 630-7063
- **Mailing address:** 140 BEARCAMP POND RD, SOUTH TAMWORTH, NH 03883-3402
- **Mailing address phone:** (603) 630-7063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 09/06/2023