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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