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WILD SOUL THERAPY LLC
NPI 1639021496
Counselor - Mental Health in Maitland, FL

Active since February 12, 2026
2700 WESTHALL LN STE 203, MAITLAND, FL 32751(310) 733-6850 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wild Soul Therapy Llc NPPES

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

WILD SOUL THERAPY LLC (NPI 1639021496) is a healthcare organization registered as a mental health in Maitland, Florida and active in the NPI registry since February 2026. The organization lists Matthew Militano, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1639021496
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILD SOUL THERAPY LLC
Location Address2700 WESTHALL LN STE 203Maitland, FL 32751-7403
Mailing Address2700 Westhall Ln Ste 203Maitland, FL 32751-7403
Phone(310) 733-6850
Organization SubpartNo
Authorized OfficialMatthew MilitanoManaging Member · (310) 733-6850
Enumeration DateFebruary 12, 2026
NPPES CertifiedFebruary 12, 2026
✔ NPI 1639021496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2700 WESTHALL LN STE 203, Maitland, FL 32751
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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.

ROTHENBERG COUNSELING
Counselor (Mental Health)
2700 WESTHALL LN STE 203
MAITLAND, FL 32751
Orange County (407) 797-5469
MATTHEW MILITANO
Counselor (Mental Health)
2700 WESTHALL LN STE 203
MAITLAND, FL 32751
Orange County (310) 733-6850

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 Soul Therapy LLC's NPI number?

The NPI number for Wild Soul Therapy LLC is 1639021496. It was assigned to this organization in the NPPES registry on February 12, 2026.

Where is Wild Soul Therapy LLC located?

Wild Soul Therapy LLC is located at 2700 Westhall Ln Ste 203, Maitland, FL 32751. The listed phone number is (310) 733-6850.

What is Wild Soul Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wild Soul Therapy LLC was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.