Healthcare Provider Details

I. General information

NPI: 1912810706
Provider Name (Legal Business Name): WILDFLOWER CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 W MULBERRY ST STE 107
FORT COLLINS CO
80521-2864
US

IV. Provider business mailing address

425 W MULBERRY ST STE 107
FORT COLLINS CO
80521-2864
US

V. Phone/Fax

Practice location:
  • Phone: 720-900-5898
  • Fax: 720-528-7870
Mailing address:
  • Phone: 720-900-5898
  • Fax: 720-528-7870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERIN PETERS
Title or Position: OWNER AND CLINICIAN
Credential: LCSW
Phone: 720-900-5898