Healthcare Provider Details

I. General information

NPI: 1386337871
Provider Name (Legal Business Name): PAULA DA SILVA-DEBREW LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 GREENMOUNT AVE STE 300
BALTIMORE MD
21218-6907
US

IV. Provider business mailing address

3030 GREENMOUNT AVE STE 300
BALTIMORE MD
21218-6907
US

V. Phone/Fax

Practice location:
  • Phone: 240-554-5510
  • Fax:
Mailing address:
  • Phone: 240-554-5510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC17492
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: