Healthcare Provider Details

I. General information

NPI: 1023926102
Provider Name (Legal Business Name): WILDWOODS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15775 JUNIPER RIDGE DR NW
RAMSEY MN
55303-4213
US

IV. Provider business mailing address

15775 JUNIPER RIDGE DR NW
RAMSEY MN
55303-4213
US

V. Phone/Fax

Practice location:
  • Phone: 320-420-0241
  • Fax:
Mailing address:
  • Phone: 320-420-0241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALISON LYNN PERRY
Title or Position: OWNER
Credential: MA, LPCC, ACS
Phone: 320-420-0241