Organization · Type 2 NPI

Innerbloom Mental Health Clinics LLC

Psychiatric/Mental Health Nurse Practitioner · Waldorf, MD

NPI number 1104792787 Active

Practice location

3460 Old Washington Rd Ste 203A
Waldorf, MD 20602-3243

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

Careway Southern Maryland Clinic LLCInternal Medicine Physician Waldorf, MD NPI 1437957388
Privia Medical Group, LLCInternal Medicine Physician Waldorf, MD NPI 1245169853
Edith Nebuwa Aniedobe, MDInternal Medicine Physician Waldorf, MD NPI 1467641183
Nichole Lasha Williams, FNPFamily Nurse Practitioner Waldorf, MD NPI 1750852554

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About NPI 1104792787

Innerbloom Mental Health Clinics LLC's National Provider Identifier is 1104792787, issued on Oct 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Waldorf, MD. The record was last updated on Nov 19, 2025.