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General NPI Number Information
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NPI Number | 1013869825
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Entity Type | Organization
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Legal Business Name | WILDFLOWER CREATIVE THERAPY, LLC
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 15948 FREDERICK RD
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City | WOODBINE
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State | MD
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Zip | 21797-8526
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Country | US
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Telephone | 410-936-3981
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Fax |
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Provider Business Mailing Address
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Address Line | 904 AUTUMN RIDGE CT
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City | MOUNT AIRY
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State | MD
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Zip | 21771-5755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MEGAN BLEIL
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Credential | LGPC, RDT
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Telephone | 410-946-4294
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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