Organization
WILDFLOWER THERAPY COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIA HENRY LMFT (OWNER)
(704) 625-6125
Entity
Organization
Contact information
Practice address
1222 KENILWORTH AVE STE 4, CHARLOTTE, NC 28204-2910
(704) 625-6125
Mailing address
1222 KENILWORTH AVE STE 4, CHARLOTTE, NC 28204-2910
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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