MEDICARE: WILDFLOWER WELLNESS COUNSELING

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	:	1780524637
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILDFLOWER WELLNESS COUNSELING

Provider Business Mailing Address
First Line	:	5125 CTY RD 101
Second Line	:	SUITE 249
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	612-249-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	5125 CTY RD 101
Second Line	:	SUITE 249
City	:	MINNETONKA
State	:	MN
Zip	:	55345
Country	:	US
Telephone Number	:	612-249-0069
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH PROVIDER
Name	:	ASHLEY WINKELHAKE
Credential	:	LPCC
Telephone Number	:	612-619-3601

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “WILDFLOWER WELLNESS COUNSELING ” Practice Location

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