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Organization
WILDFLOWER WELLNESS LLC
Active
Organization
WILDFLOWER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA MIARS LCPC (OWNER/ PRIMARY THERAPIST)
(410) 709-9044
Entity
Organization
Contact information
Practice address
2809 EMERALD RD, PARKVILLE, MD 21234-5634
(410) 709-9044
Mailing address
2809 EMERALD RD, PARKVILLE, MD 21234-5634
(410) 709-9044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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