Organization
WILDWOOD MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABBATHA LITCHKE HERDMAN (LPCC)
(218) 301-6278
Entity
Organization
Contact information
Practice address
1833 W US HIGHWAY 2 STE B, GRAND RAPIDS, MN 55744-4733
(218) 392-5904
Mailing address
PO BOX 124, GRAND RAPIDS, MN 55744-0050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
04/05/2026
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