WILDFLOWER THERAPY LLC
NPI 1275373391
Social Worker - Clinical in Waterbury, VT

Active since May 28, 2024
57 S MAIN ST, WATERBURY, VT 05676(978) 831-3196 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2024, Jun 19, 2024 (2 updates tracked since 2024).

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About Wildflower Therapy Llc NPPES

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

WILDFLOWER THERAPY LLC (NPI 1275373391) is a clinical in Waterbury, Vermont and active in the NPI registry since May 2024. The organization lists Jacqueline Shea Goodall, Owner/clinician, as its authorized official.Information from the official NPPES registry record, last updated June 24, 2024.

NPPES Registry Identity

NPI1275373391
Entity TypeOrganization
Legal Business NameWILDFLOWER THERAPY LLC
Location Address57 S MAIN STWaterbury, VT 05676-1557
Mailing Address67 Fairground RdWaterbury, VT 05676-8903 · (978) 831-3196
Organization SubpartNo
Authorized OfficialJacqueline Shea GoodallOwner/clinician · (978) 831-3196
Enumeration DateMay 28, 2024
Last NPPES UpdateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1275373391 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Social Worker · Clinical

Taxonomy 1041C0700X · Behavioral Health & Social Service Providers

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised… Show more

57 S MAIN ST, Waterbury, VT 05676

Also on File with NPPES

Group Practice1
This 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)
Last updated in NPPES on June 24, 2024 · 2 updates tracked since enumeration.

Reviews for WILDFLOWER THERAPY LLC

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Mental Health)
57 S MAIN ST
WATERBURY, VT 05676
Counselor (Mental Health)
57 S MAIN ST
WATERBURY, VT 05676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275373391, enumerated as an "organization" on May 28, 2024.

The provider is located at 57 S MAIN ST WATERBURY, VT 05676 and the phone number is (978) 831-3196.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.