Healthcare Provider Details

I. General information

NPI: 1932036217
Provider Name (Legal Business Name): WILD SPIRIT THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 08/02/2026
Certification Date: 08/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7112 WHITE PINE DR
PERRY MI
48872-9138
US

IV. Provider business mailing address

2014 N SAGINAW RD # 1002
MIDLAND MI
48640-6614
US

V. Phone/Fax

Practice location:
  • Phone: 517-302-0598
  • Fax:
Mailing address:
  • Phone: 517-302-0598
  • Fax:

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: WINDI STERLING
Title or Position: OWNER
Credential: LMSW-C
Phone: 517-302-0598