EVERBLOOM PSYCHIATRIC AND MENTAL HEALTH SERVICES
NPI 1205566064
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waldorf, MD

Q: What is Everbloom Psychiatric And Mental Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since June 14, 2022

10542 BLACK PINE LN, WALDORF, MD 20603(332) 262-9877 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Everbloom Psychiatric And Mental Health Services NPPES

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

EVERBLOOM PSYCHIATRIC AND MENTAL HEALTH SERVICES (NPI 1205566064) is a healthcare organization registered as a mental health (including community mental health center) in Waldorf, Maryland and active in the NPI registry since June 2022. The organization lists Dawnette Campbell, Provider, as its authorized official.

NPPES Registry Identity

NPI1205566064

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameEVERBLOOM PSYCHIATRIC AND MENTAL HEALTH SERVICES

Location Address10542 BLACK PINE LNWaldorf, MD 20603-6701

Mailing Address10542 Black Pine LnWaldorf, MD 20603-6701 · (332) 262-9877

Phone(332) 262-9877

Organization SubpartNo

Authorized OfficialDawnette CampbellProvider · (301) 537-3642

Enumeration DateJune 14, 2022

Last NPPES UpdateApril 25, 2023

NPPES CertifiedApril 25, 2023

✔ NPI 1205566064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

10542 BLACK PINE LN, Waldorf, MD 20603

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Other Providers at the Same Location NPPES

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

DAWNETTE GAYLENE CAMPBELL PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

10542 BLACK PINE LN
WALDORF, MD 20603

Charles County (301) 537-3642

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 Everbloom Psychiatric And Mental Health Services's NPI number?

The NPI number for Everbloom Psychiatric And Mental Health Services is 1205566064. It was assigned to this organization in the NPPES registry on June 14, 2022.

Where is Everbloom Psychiatric And Mental Health Services located?

Everbloom Psychiatric And Mental Health Services is located at 10542 Black Pine Ln, Waldorf, MD 20603. The listed phone number is (332) 262-9877.

What is Everbloom Psychiatric And Mental Health Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Everbloom Psychiatric And Mental Health Services was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.