MEDICARE: WILDFLOWER COUNSELING & CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1255277901
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILDFLOWER COUNSELING & CARE LLC

Provider Business Mailing Address
First Line	:	4814 PORTSMOUTH RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6284
Country	:	US
Telephone Number	:	410-428-3130
Fax Number	:

Provider Business Practice Location Address
First Line	:	4814 PORTSMOUTH RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-6284
Country	:	US
Telephone Number	:	410-428-3130
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	PAULA A DA SILVA-DEBREW
Credential	:	LCPC
Telephone Number	:	410-428-3130

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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