Dr. Brandon J Wilde is a Provo, Utah based counselor who is specialized as Mental Health Counselor. Active license number of Dr. Brandon J Wilde is 9471022-6044 for Mental Health Counselor in Utah. His current practice location is 122 E 1700 S Bldg 3, Provo. Patients can book an appointment with him at 801-900-3656.
Dr. Brandon J Wilde is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Dr. Brandon J Wilde speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Brandon J Wilde
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
CMHC
Accepts Medicare Assignment:
No
Practice Address:
122 E 1700 S Bldg 3, Provo, Utah, 84606-5644
Phone:
801-900-3656
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710140447
NPI Enumeration Date:
02 Jul, 2008
NPI Last Update On:
10 Sep, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brandon J Wilde are as mentioned below.
License Number
Specialization
State
Status
9471022-6044
Mental Health Counselor
Utah
Primary
9471002-6004
Mental Health Counselor
Utah
Secondary
LPC3887
Mental Health Counselor
Idaho
Secondary
LPC-17502
Mental Health Counselor
Arizona
Secondary
CP3313-R
Professional Counselor
Nevada
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Brandon J Wilde such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
807197600
Medicaid
Idaho
4290476
Medicaid
Utah
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7897 N Broken Arrow Ln, Eagle Mountain, Utah
Zip:
84005-7203
Phone Number:
602-460-6428
Patients can reach Dr. Brandon J Wilde at 122 E 1700 S Bldg 3, Provo, Utah or can call to book an appointment on 801-900-3656. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.