WILD SOULS RANCH
NPI 1104702570
Community/Behavioral Health in Fortuna, CA
About Wild Souls Ranch NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILD SOULS RANCH (NPI 1104702570) is a healthcare organization registered as a community/behavioral health in Fortuna, California and active in the NPI registry since August 2025. The organization lists Maya Jimenez-osell, Executive Direction, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wild Souls Ranch's NPI number?
The NPI number for Wild Souls Ranch is 1104702570. It was assigned to this organization in the NPPES registry on August 12, 2025.
Where is Wild Souls Ranch located?
Wild Souls Ranch is located at 2870 Nelson Ln, Fortuna, CA 95540. The listed phone number is (707) 617-0356.
What is Wild Souls Ranch's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
When was this NPI record last updated?
The NPPES record for Wild Souls Ranch was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
