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General NPI Number Information
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NPI Number | 1902665698
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Entity Type | Organization
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Legal Business Name | WILDWOOD COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 03/15/2024
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 3454 OAK ALLEY CT STE 209
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City | TOLEDO
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State | OH
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Zip | 43606-1370
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Country | US
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Telephone | 419-405-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3454 OAK ALLEY CT STE 209
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City | TOLEDO
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State | OH
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Zip | 43606-1370
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Country | US
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Telephone | 419-405-1000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CASSANDRA REINECK
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Credential |
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Telephone | 567-331-2278
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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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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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