Blessed Vine Healthcare Services LLC

NPI #1619799459 in Waldorf, Maryland

Provider Information

NPI Number: 1619799459
Entity Type: Organization
Organization Name: Blessed Vine Healthcare Services LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 31, 2024
Last Updated: Oct 31, 2024

Practice Location

Address: 3261 OLD WASHINGTON RD STE 2020
City: Waldorf
State: Maryland
ZIP Code: 20602-3231
Phone: (240) 725-4037

Authorized Official

Name: BARBARA BUXTON
Title: OWNER
Phone: (240) 725-4037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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