Organization
WILD MINDS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH CHILDERS LCPC (OWNER/THERAPIST)
(443) 377-3644
Entity
Organization
Contact information
Practice address
4401 FORGE RD, PERRY HALL, MD 21128-9504
(443) 377-3644
Mailing address
4401 FORGE RD, PERRY HALL, MD 21128-9504
(443) 377-3644
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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