Wildflower Therapy LLC

Clinical Social Worker · Waterbury, VT

Organization Active NPI

NPI number 1275373391

Practice location

57 S Main St
Waterbury, VT 05676-1557
Phone
(978) 831-3196

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NPI record

NPI
1275373391
Entity type
Organization (Type 2)
Enumeration date
May 28, 2024
Last updated
June 24, 2024
Certified
June 24, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X — —

Mailing address

67 Fairground Rd
Waterbury, VT 05676-8903
Phone
(978) 831-3196

Authorized official

Name
Mrs. Jacqueline Shea Goodall, LICSW
Title
Owner/Clinician
Phone
(978) 831-3196

About Wildflower Therapy LLC

Wildflower Therapy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 57 S Main St, Waterbury, VT 05676-1557. The NPI number 1275373391 was assigned on May 28, 2024 and the record was last updated on June 24, 2024.

The authorized official for this organization is Mrs. Jacqueline Shea Goodall, LICSW, Owner/Clinician.

Frequently asked questions

What is the NPI number of Wildflower Therapy LLC?

The NPI number is 1275373391.

What is the phone number of Wildflower Therapy LLC?

The phone number listed for the practice location is (978) 831-3196.

Where is Wildflower Therapy LLC located?

57 S Main St, Waterbury, VT 05676-1557.

What is the taxonomy code for Wildflower Therapy LLC?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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