Healthcare Provider Details

I. General information

NPI: 1255277901
Provider Name (Legal Business Name): WILDFLOWER COUNSELING & CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4814 PORTSMOUTH RD
ELLICOTT CITY MD
21042-6284
US

IV. Provider business mailing address

4814 PORTSMOUTH RD
ELLICOTT CITY MD
21042-6284
US

V. Phone/Fax

Practice location:
  • Phone: 410-428-3130
  • Fax:
Mailing address:
  • Phone: 410-428-3130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: PAULA A DA SILVA-DEBREW
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCPC
Phone: 410-428-3130