# WILDFLOWER PSYCHIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Willow Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376248609
- **Authorized official:** JENNIFER DOUGLAS (NURSE PRACTITIONER)
- **Authorized official phone:** (240) 599-7804

## Contact information

- **Practice address:** 10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117-4867
- **Practice address phone:** (240) 599-7804
- **Practice address fax:** (240) 752-0849
- **Mailing address:** 10055 RED RUN BLVD STE 200, OWINGS MILLS, MD 21117-4867
- **Mailing address phone:** (240) 345-1055
- **Mailing address fax:** (240) 752-0849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 07/14/2026