Healthcare Provider Details

I. General information

NPI: 1780524637
Provider Name (Legal Business Name): WILDFLOWER WELLNESS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5125 CTY RD 101 SUITE 249
MINNETONKA MN
55345
US

IV. Provider business mailing address

5125 CTY RD 101 SUITE 249
MINNETONKA MN
55345
US

V. Phone/Fax

Practice location:
  • Phone: 612-249-0069
  • Fax:
Mailing address:
  • Phone: 612-249-0069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY WINKELHAKE
Title or Position: MENTAL HEALTH PROVIDER
Credential: LPCC
Phone: 612-619-3601