Wildflower Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WILDFLOWER WELLNESS LLC

Practice address

2809 Emerald Rd
Parkville, MD 21234-5634

Phone

(410) 709-9044

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Marissa Miars, LCPCNPI 1194498816

Title

Owner/ Primary Therapist

Phone

(410) 709-9044

Specialties & licenses 3

Addresses

Practitioners 1

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

• Marissa Miars, LGPC

  • Mental Health Counselor
  • Nottingham, MD
  • NPI 1194498816
  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1700652567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 EMERALD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345634",
            "telephone_number": "410-709-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 EMERALD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345634",
            "telephone_number": "410-709-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "MIARS",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER/ PRIMARY THERAPIST",
        "authorized_official_telephone_number": "410-709-9044",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaye Scott Wexler, PHARMD
• Valerie Whitakersmith, OD
• Kameron Justin White
• Whole Body Healthcare Parkville LLC
• Sean Wies
• Dominique Willis- Wade, LMSW
• Franklin Wilson, CRANIAL PROSTHESIS S
• Patricia Wilson, LCSW-C
• Douglas Gene Wittich, LMT
• Eboni M Wright

• Mental Health Counselor in Parkville, MD
• Providers in Parkville, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.