Organization
WILDER WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY DIANE WILDER LMHC (FOUNDER)
(850) 273-0199
Entity
Organization
Contact information
Practice address
1114 THOMASVILLE RD STE W, TALLAHASSEE, FL 32303-6273
(850) 273-0199
(850) 792-2491
Mailing address
1114 THOMASVILLE RD STE W, TALLAHASSEE, FL 32303-6273
(850) 273-0199
(850) 792-2491
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
11/10/2024
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