BLACKSOLEHEELING, LLC
NPI 1912627811
Clinic/Center - Mental Health (Including Community Mental Health Center) in Waldorf, MD

Active since August 31, 2022
2807 PINEWOOD DR, WALDORF, MD 20601(240) 725-2727 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blacksoleheeling, Llc NPPES

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

BLACKSOLEHEELING, LLC (NPI 1912627811), doing business as Bsh, Llc, is a healthcare organization registered as a mental health (including community mental health center) in Waldorf, Maryland and active in the NPI registry since August 2022. The organization lists Donnika Jenkins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912627811
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLACKSOLEHEELING, LLC
Location Address2807 PINEWOOD DRWaldorf, MD 20601-3047
Mailing Address5942 Southern Ave SeWashington, DC 20019-6553
Organization SubpartNo
Authorized OfficialDonnika JenkinsCfo · (240) 725-2727
Enumeration DateAugust 31, 2022
NPPES CertifiedAugust 31, 2022
NPI 1912627811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
2807 PINEWOOD DR, Waldorf, MD 20601

Other Names 1

Doing Business AsBsh, Llc

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 Blacksoleheeling, LLC's NPI number?

The NPI number for Blacksoleheeling, LLC is 1912627811. It was assigned to this organization in the NPPES registry on August 31, 2022. The provider is doing business as Bsh, LLC.

Where is Blacksoleheeling, LLC located?

Blacksoleheeling, LLC is located at 2807 Pinewood Dr, Waldorf, MD 20601. The listed phone number is (240) 725-2727.

What is Blacksoleheeling, LLC'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 Blacksoleheeling, LLC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.