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WILDWOOD THERAPY COLLECTIVE LLC
NPI 1831989482
Counselor - Mental Health in Gibsonia, PA

Active since May 07, 2025
4032 EWALT RD, GIBSONIA, PA 15044(802) 522-9211 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2026, May 7, 2025 (2 updates tracked since 2025).

About Wildwood Therapy Collective Llc NPPES

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

WILDWOOD THERAPY COLLECTIVE LLC (NPI 1831989482) is a healthcare organization registered as a mental health in Gibsonia, Pennsylvania and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Wexford and lists Jacob Edmondson, Owner, as its authorized official.

NPPES Registry Identity

NPI1831989482
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILDWOOD THERAPY COLLECTIVE LLC
Location Address4032 EWALT RDGibsonia, PA 15044-9534
Mailing Address4032 Ewalt RdGibsonia, PA 15044-9534 · (802) 522-9211
Phone(802) 522-9211
Organization SubpartNo
Authorized OfficialJacob EdmondsonOwner · (802) 522-9211
Enumeration DateMay 7, 2025
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
✔ NPI 1831989482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4032 EWALT RD, Gibsonia, PA 15044
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Secondary Practice Location 1

Location 111676 Perry Hwy Ste 2205Wexford, PA 15090-7201 · Phone (802) 522-9211

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Wildwood Therapy Collective LLC's NPI number?

The NPI number for Wildwood Therapy Collective LLC is 1831989482. It was assigned to this organization in the NPPES registry on May 7, 2025.

Where is Wildwood Therapy Collective LLC located?

Wildwood Therapy Collective LLC is located at 4032 Ewalt Rd, Gibsonia, PA 15044. The listed phone number is (802) 522-9211.

What is Wildwood Therapy Collective 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 Wildwood Therapy Collective LLC was last updated on March 6, 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.