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General NPI Number Information
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NPI Number | 1700791886
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Entity Type | Organization
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Legal Business Name | WILDFLOWER COUNSELING, LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 318 W SUN STREET
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City | MOREHEAD
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State | KY
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Zip | 40351
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Country | US
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Telephone | 606-548-1443
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Fax | 606-548-1443
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Provider Business Mailing Address
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Address Line | PO BOX 71
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City | MOREHEAD
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State | KY
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Zip | 40351-0071
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Country | US
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Telephone | 606-548-1443
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Fax | 606-548-1443
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Authorized Official
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Title or Position | OWNER
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Name | TERESA M TACKETT
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Credential |
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Telephone | 606-548-1443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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