Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dba Wild Roots Therapy

Organization Mental Health Counselor · NPI 1891629051

Dba Wild Roots Therapy provides Mental Health Counselor services in Salt Lake City, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1512 S 1100 E Ste B
Salt Lake City, UT 84105-2493
Phone: (801) 231-0946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891629051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martha Wyld — Owner · (801) 231-0946
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address1512 S 1100 E Ste B, Salt Lake City, UT 84105-2493

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