NPIMap

Organization Active NPI

Wallflowers Therapy, 501C3

  • Clinical Social Worker
  • Daphne, AL
National Provider Identifier
1508748161
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
WALLFLOWERS THERAPY, 501C3
Practice address
151 Montclair Loop
Daphne, AL 36526-8151
Phone
(251) 490-5077
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kellie A Ebberup-Krug, LICSW-SNPI 1275177255
Title
Director/Clinician
Phone
(251) 490-5077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

151 Montclair Loop
Daphne, AL 36526-8151

Mailing address

6845 Hwy 90 E
Ste 105 #126
Daphne, AL 36526
Phone (251) 490-5077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1508748161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6845 HWY 90 E",
            "address_2": "STE 105 #126",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "36526",
            "telephone_number": "251-490-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 MONTCLAIR LOOP",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268151",
            "telephone_number": "251-490-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLFLOWERS THERAPY, 501C3",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "EBBERUP-KRUG",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR/CLINICIAN",
        "authorized_official_telephone_number": "251-490-5077",
        "authorized_official_credential": "LICSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.