Provider Demographics
NPI:1538020078
Name:WILDFLOWER WELLNESS AND HOLISTIC COUNSELING LLC
Entity type:Organization
Organization Name:WILDFLOWER WELLNESS AND HOLISTIC COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SPATAFORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:248-457-5113
Mailing Address - Street 1:8031 ORTONVILLE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8031 ORTONVILLE RD STE 190
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4484
Practice Address - Country:US
Practice Address - Phone:248-457-5113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty