WILD ROOTS WELLNESS, PLLC
NPI 1114595600
Counselor - Professional in Phoenix, AZ

Q: What is Wild Roots Wellness, PLLC's NPI number?

The NPI number for Wild Roots Wellness, PLLC is 1114595600. It was assigned to this organization in the NPPES registry on June 11, 2021.

Q: What is Wild Roots Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since June 11, 2021

4500 N 32ND ST STE 201D, PHOENIX, AZ 85018(480) 297-0616 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wild Roots Wellness, Pllc NPPES

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

WILD ROOTS WELLNESS, PLLC (NPI 1114595600) is a healthcare organization registered as a professional in Phoenix, Arizona and active in the NPI registry since June 2021. The organization lists Monica Torres, Owner, as its authorized official.

NPPES Registry Identity

NPI1114595600

Entity TypeOrganization

Primary Taxonomy101YP2500X

Legal Business NameWILD ROOTS WELLNESS, PLLC

Location Address4500 N 32ND ST STE 201DPhoenix, AZ 85018-3397

Mailing Address4500 N 32nd St Ste 201dPhoenix, AZ 85018-3397 · (480) 297-0616

Phone(480) 297-0616

Organization SubpartNo

Authorized OfficialMonica TorresOwner · (480) 297-0616

Enumeration DateJune 11, 2021

NPPES CertifiedJune 11, 2021

✔ NPI 1114595600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

4500 N 32ND ST STE 201D, Phoenix, AZ 85018

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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

Other Providers at the Same Location NPPES 2

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

JACQUELINE KINCER IBCLC, COMC, ISE

Lactation Consultant, Non-RN

4500 N 32ND ST STE 201D
PHOENIX, AZ 85018

Maricopa County (602) 842-2863

FOUR CORNERS COUNSELING AND WELLNESS INC.

Counselor (Mental Health)

4500 N 32ND ST STE 201D
PHOENIX, AZ 85018

Maricopa County (602) 922-6456

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 Roots Wellness, PLLC's NPI number?

The NPI number for Wild Roots Wellness, PLLC is 1114595600. It was assigned to this organization in the NPPES registry on June 11, 2021.

Where is Wild Roots Wellness, PLLC located?

Wild Roots Wellness, PLLC is located at 4500 N 32nd St Ste 201D, Phoenix, AZ 85018. The listed phone number is (480) 297-0616.

What is Wild Roots Wellness, PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wild Roots Wellness, PLLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.