Organization
WILDERHEART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WERNBERG MA, LMHC (OWNER/THERAPIST)
(407) 717-8245
Entity
Organization
Contact information
Practice address
7532 AZUREBROOK CT, WINTER PARK, FL 32792-8702
(407) 717-8245
Mailing address
7532 AZUREBROOK CT, WINTER PARK, FL 32792-8702
(407) 717-8245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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