Provider Demographics
NPI:1346541968
Name:WILDFLOWER COUNSELING
Entity Type:Organization
Organization Name:WILDFLOWER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC LISAC
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-405-8801
Mailing Address - Street 1:PO BOX 43533
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85733-3533
Mailing Address - Country:US
Mailing Address - Phone:520-405-8801
Mailing Address - Fax:
Practice Address - Street 1:2909 E CUSHMAN DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-2411
Practice Address - Country:US
Practice Address - Phone:520-405-8801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC #12096251S00000X
AZSA-1399251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health