INTO THE WILD, INC.
NPI 1023775541
Counselor - Addiction (Substance Use Disorder) in Lewisville, NC

Active since November 18, 2021
5765 SHALLOWFORD RD, LEWISVILLE, NC 27023(336) 314-0051 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Into The Wild, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTO THE WILD, INC. (NPI 1023775541) is a healthcare organization registered as an addiction (substance use disorder) in Lewisville, North Carolina and active in the NPI registry since November 2021. The organization lists Max Goelling, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023775541
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameINTO THE WILD, INC.
Location Address5765 SHALLOWFORD RDLewisville, NC 27023-9610
Mailing AddressPo Box 1291King, NC 27021-1291 · (336) 314-0051
Organization SubpartNo
Authorized OfficialMax GoellingCfo · (336) 314-0051
Enumeration DateNovember 18, 2021
NPPES CertifiedNovember 18, 2021
NPI 1023775541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
5765 SHALLOWFORD RD, Lewisville, NC 27023

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Into The Wild, Inc.'s NPI number?

The NPI number for Into The Wild, Inc. is 1023775541. It was assigned to this organization in the NPPES registry on November 18, 2021.

Where is Into The Wild, Inc. located?

Into The Wild, Inc. is located at 5765 Shallowford Rd, Lewisville, NC 27023. The listed phone number is (336) 314-0051.

What is Into The Wild, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Into The Wild, Inc. was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.