Provider Demographics
NPI:1497637433
Name:WILDCARD COLLECTIVE, LLC
Entity type:Organization
Organization Name:WILDCARD COLLECTIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, CSW
Authorized Official - Phone:303-915-2680
Mailing Address - Street 1:W3553 TWIN LN
Mailing Address - Street 2:
Mailing Address - City:REDGRANITE
Mailing Address - State:WI
Mailing Address - Zip Code:54970-7069
Mailing Address - Country:US
Mailing Address - Phone:303-915-2680
Mailing Address - Fax:
Practice Address - Street 1:W3553 TWIN LN
Practice Address - Street 2:
Practice Address - City:REDGRANITE
Practice Address - State:WI
Practice Address - Zip Code:54970-7069
Practice Address - Country:US
Practice Address - Phone:303-915-2680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty