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General NPI Number Information
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NPI Number | 1750236949
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Entity Type | Organization
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Legal Business Name | WILDBEING COUNSELING LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1186 BURKE AVE W
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City | ROSEVILLE
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State | MN
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Zip | 55113-5963
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Country | US
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Telephone | 631-682-8411
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Fax |
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Provider Business Mailing Address
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Address Line | 1186 BURKE AVE W
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City | ROSEVILLE
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State | MN
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Zip | 55113-5963
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Country | US
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Telephone | 631-682-8411
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MALLAIGH MCGINLEY
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Credential |
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Telephone | 631-682-8411
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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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