OrganizationActive
Wild Minds Therapy, LLC
NPI 1073365656 · Adult Mental Health Clinic/Center · Perry Hall, MD
Provider details
- NPI number
- 1073365656
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Leah Childers, Owner/Therapist(443) 377-3644
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4401 Forge Rd
Perry Hall, MD 21128-9504
Phone: (443) 377-3644
Street-level locationGet directions
Mailing address
4401 Forge Rd
Perry Hall, MD 21128-9504
Registry dates
- Enumerated
- 2024-04-04
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.