OrganizationActive
Wild Heart Society PLLC
NPI 1700344298 · Adolescent and Children Mental Health Clinic/Center · Vancouver, WA
Provider details
- NPI number
- 1700344298
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mackenzie Dunham, Partner/Therapist(360) 521-3055
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
15604 Ne 28th Ave
Vancouver, WA 98686-1541
Phone: (360) 521-3055
Approximate (ZIP-level) locationGet directions
Mailing address
15604 Ne 28th Ave
Vancouver, WA 98686-1541
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2019-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.