Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JULIE WISDOM-WILD LCDC
NPI 1093108110
Counselor - Addiction (Substance Use Disorder) in San Antonio, TX

Active since March 13, 2015
300 E MULBERRY AVE, SAN ANTONIO, TX 78212(210) 735-3822(210) 735-7908 Get Directions Write a Review

NPPES record last updated: July 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julie Wisdom-wild Lcdc NPPES

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

JULIE WISDOM-WILD LCDC (NPI 1093108110) is an individual addiction (substance use disorder) provider in San Antonio, Texas, licensed in Texas (2993) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1093108110
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJULIE WISDOM-WILDCredential: LCDC
Location Address300 E MULBERRY AVESan Antonio, TX 78212-3023
Mailing Address300 E Mulberry AveSan Antonio, TX 78212-3023 · (210) 735-3822 · Fax (210) 735-7908
Fax(210) 735-7908
Sole ProprietorNo
Enumeration DateMarch 13, 2015
Last NPPES UpdateJuly 19, 2026
NPI 1093108110 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
License Licensed in TX · 2993
300 E MULBERRY AVE, San Antonio, TX 78212

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Professional)
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Clinic/Center (Rehabilitation, Substance Use Disorder)
300 E MULBERRY AVE
SAN ANTONIO, TX 78212
Counselor (Addiction (Substance Use Disorder))
300 E MULBERRY AVE
SAN ANTONIO, TX 78212

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 Julie Wisdom-wild's NPI number?

The NPI number for Julie Wisdom-wild is 1093108110. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Where is Julie Wisdom-wild located?

Julie Wisdom-wild practices at 300 E Mulberry Ave, San Antonio, TX 78212. The listed phone number is (210) 735-3822.

What is Julie Wisdom-wild'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 Julie Wisdom-wild was last updated on July 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.