Wildform Therapy, PLLC
Wildform Therapy, PLLC provides Mental Health Counselor services in Pueblo, Colorado. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
201 W 8th St Ste 880Pueblo, CO 81003-3037
Phone: (719) 215-8347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1922918176 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kurtis Rivera — Ceo · (719) 215-8347 |
| NPI enumerated | September 10, 2026 |
| Last updated in NPPES | September 10, 2026 |
| Certification date | September 10, 2026 |
| Mailing address | 201 W 8th St Ste 880, Pueblo, CO 81003-3037 |
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