| Wild Minds Therapy, LLC | |
|
4401 Forge Rd Perry Hall MD 21128-9504 | |
| (443) 377-3644 | |
| Not Available |
| Full Name | Wild Minds Therapy, LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4401 Forge Rd, Perry Hall, Maryland |
| Authorized Official Name and Position | Leah Childers (OWNER/THERAPIST) |
| Authorized Official Contact | 4433773644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Minds Therapy, LLC 4401 Forge Rd Perry Hall MD 21128-9504 Ph: (443) 377-3644 | Wild Minds Therapy, LLC 4401 Forge Rd Perry Hall MD 21128-9504 Ph: (443) 377-3644 |
| NPI Number | 1073365656 |
|---|---|
| Provider Enumeration Date | 04/04/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073365656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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