MEDICARE: PAULA DA SILVA-DEBREW LCPC

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	LC17492	MD

General Provider Information

NPI Number	:	1386337871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA DA SILVA-DEBREW LCPC

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	:	4304 E WEST HWY
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4406
Country	:	US
Telephone Number	:	240-554-5510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2023
Last Update Date	:	04/07/2026

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