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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLUSH BORDEAUX BRONZE THERAPY
NPI 1417856683
Counselor - Mental Health in Waldorf, MD

Active since November 04, 2026
12297 REVOLUTION CT, WALDORF, MD 20602(301) 752-9424 Get Directions Write a Review

NPPES record added: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Blush Bordeaux Bronze Therapy NPPES

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

BLUSH BORDEAUX BRONZE THERAPY (NPI 1417856683) is a healthcare organization registered as a mental health in Waldorf, Maryland and active in the NPI registry since November 2026. The organization lists Sade Dunn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417856683
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLUSH BORDEAUX BRONZE THERAPY
Location Address12297 REVOLUTION CTWaldorf, MD 20602-4226
Mailing Address12297 Revolution CtWaldorf, MD 20602-4226 · (301) 752-9424
Phone(301) 752-9424
Organization SubpartNo
Authorized OfficialSade DunnCeo · (301) 752-9424
Enumeration DateNovember 4, 2026
NPPES CertifiedNovember 4, 2026
✔ NPI 1417856683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12297 REVOLUTION CT, Waldorf, MD 20602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Blush Bordeaux Bronze Therapy's NPI number?

The NPI number for Blush Bordeaux Bronze Therapy is 1417856683. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Blush Bordeaux Bronze Therapy located?

Blush Bordeaux Bronze Therapy is located at 12297 Revolution Ct, Waldorf, MD 20602. The listed phone number is (301) 752-9424.

What is Blush Bordeaux Bronze Therapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Blush Bordeaux Bronze Therapy was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.