Wild Minds Therapy, LLC
NPI #1073365656 in Perry Hall, Maryland
Provider Information
- NPI Number
- 1073365656
- Entity Type
- Organization
- Organization Name
- Wild Minds Therapy, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Apr 4, 2024
- Last Updated
- Apr 4, 2024
Practice Location
- Address
- 4401 FORGE RD
- City
- Perry Hall
- State
- Maryland
- ZIP Code
- 21128-9504
- Phone
- (443) 377-3644
Authorized Official
- Name
- LEAH CHILDERS, LCPC
- Title
- OWNER/THERAPIST
- Phone
- (443) 377-3644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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