Wild Soul Therapy LLC
NPI 1639021496 · Mental Health Counselor · Maitland, FL
Wild Soul Therapy LLC is a Mental Health Counselor organization in Maitland, FL (NPI 1639021496).
Provider details
- NPI number
- 1639021496
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Militano, Managing Member(310) 733-6850
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-12
- Last updated
- 2026-02-12
- Certified
- 2026-02-12
Frequently asked questions
- What is Wild Soul Therapy LLC's NPI number?
- Wild Soul Therapy LLC's National Provider Identifier (NPI) is 1639021496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wild Soul Therapy LLC?
- Wild Soul Therapy LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wild Soul Therapy LLC located?
- Wild Soul Therapy LLC's practice location on file with NPPES is 2700 Westhall Ln Ste 203, Maitland, FL 32751-7403.
- What is Wild Soul Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Wild Soul Therapy LLC is (310) 733-6850.
- Who is the authorized official for Wild Soul Therapy LLC?
- The authorized official listed on Wild Soul Therapy LLC's NPPES record is Matthew Militano, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wild Soul Therapy LLC's NPI active?
- Yes — Wild Soul Therapy LLC's NPI (1639021496) is active in the NPPES registry as of the last update on 2026-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.