Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blackwater Wellness, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1477253862

Blackwater Wellness, LLC is a Psychiatric/Mental Health Nurse Practitioner in Cambridge, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7 Cedar St Ste 3
Cambridge, MD 21613-2381
Phone: (410) 205-6477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1477253862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandy Dawson Cumberland — Provider · (410) 205-6477
NPI enumeratedMarch 6, 2023
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address2855 Crocheron Rd, Crocheron, MD 21627-1201

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