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INNERBLOOM MENTAL HEALTH CLINICS LLC
NPI 1104792787
Nurse Practitioner - Psychiatric/Mental Health in Waldorf, MD

Active since October 13, 2025
3460 OLD WASHINGTON RD STE 203A, WALDORF, MD 20602(240) 421-4164 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innerbloom Mental Health Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNERBLOOM MENTAL HEALTH CLINICS LLC (NPI 1104792787) is a healthcare organization registered as a psychiatric/mental health in Waldorf, Maryland and active in the NPI registry since October 2025. The organization lists Rahmot Raji, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104792787
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINNERBLOOM MENTAL HEALTH CLINICS LLC
Location Address3460 OLD WASHINGTON RD STE 203AWaldorf, MD 20602-3243
Mailing Address3460 Old Washington Rd Ste 203aWaldorf, MD 20602-3243 · (240) 421-4164
Phone(240) 421-4164
Organization SubpartNo
Authorized OfficialRahmot RajiAuthorized Official · (240) 421-4164
Enumeration DateOctober 13, 2025
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1104792787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3460 OLD WASHINGTON RD STE 203A, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIVIA MEDICAL GROUP, LLC
Internal Medicine
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Charles County (301) 638-9670
CAREWAY SOUTHERN MARYLAND CLINIC LLC
Internal Medicine
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Charles County (301) 638-9670
DR. EDITH NEBUWA ANIEDOBE MD
Internal Medicine
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Charles County (301) 638-9670
NICHOLE LASHA WILLIAMS FNP
Nurse Practitioner (Family)
3460 OLD WASHINGTON RD STE 203A
WALDORF, MD 20602
Charles County (301) 638-9670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innerbloom Mental Health Clinics LLC's NPI number?

The NPI number for Innerbloom Mental Health Clinics LLC is 1104792787. It was assigned to this organization in the NPPES registry on October 13, 2025.

Where is Innerbloom Mental Health Clinics LLC located?

Innerbloom Mental Health Clinics LLC is located at 3460 Old Washington Rd Ste 203A, Waldorf, MD 20602. The listed phone number is (240) 421-4164.

What is Innerbloom Mental Health Clinics LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Innerbloom Mental Health Clinics LLC was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.