MEDICARE: WILDFLOWER WELLNESS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1467319350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILDFLOWER WELLNESS COUNSELING LLC

Provider Business Mailing Address
First Line	:	325 W MAIN ST STE D
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-3448
Country	:	US
Telephone Number	:	307-463-1147
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 W MAIN ST STE D
Second Line	:
City	:	RIVERTON
State	:	WY
Zip	:	82501-3448
Country	:	US
Telephone Number	:	307-463-1147
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	AMBER ELIZABETH FRANKS
Credential	:	LPC
Telephone Number	:	307-240-1359

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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