Healthcare Provider Details

I. General information

NPI: 1144119983
Provider Name (Legal Business Name): EMBERLY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2025
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N DIVISION ST STE 4
SALISBURY MD
21801-4218
US

IV. Provider business mailing address

305 N DIVISION ST STE 4
SALISBURY MD
21801-4218
US

V. Phone/Fax

Practice location:
  • Phone: 410-774-6568
  • Fax: 410-774-6569
Mailing address:
  • Phone: 410-774-6568
  • Fax: 410-774-6569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIARA WHARTON
Title or Position: CLINICAL THERAPIST
Credential: LCPC
Phone: 443-614-9968