Organization
WILDFLOWER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LEE (HAYLEY) AMANDA CLARK M.S. LMFT (OWNER/THERAPIST)
(608) 531-4143
Entity
Organization
Contact information
Practice address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 571-4143
(608) 531-2790
Mailing address
2961 YARMOUTH GREENWAY DR STE 2, FITCHBURG, WI 53711-5809
(608) 571-4143
(608) 531-2790
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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