Provider Demographics
NPI:1679468870
Name:WILDHEART HEALING AND COUNSELING LLC
Entity type:Organization
Organization Name:WILDHEART HEALING AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LEININGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:218-461-0711
Mailing Address - Street 1:1507 TOWER AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:WI
Mailing Address - Zip Code:54880-2554
Mailing Address - Country:US
Mailing Address - Phone:218-461-0711
Mailing Address - Fax:
Practice Address - Street 1:1507 TOWER AVE STE 212
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:WI
Practice Address - Zip Code:54880-2554
Practice Address - Country:US
Practice Address - Phone:218-461-0711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty