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

Headwaters Restoration Therapy LLC

Organization Nurse Practitioner · NPI 1154197283

Headwaters Restoration Therapy LLC is a Nurse Practitioner in Oakland, 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

14689 Garrett Hwy Ste 3
Oakland, MD 21550-4059
Phone: (301) 859-7178
Fax: (240) 270-5229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1154197283
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taylor Crabtree — Provider · (304) 777-7467
NPI enumeratedNovember 29, 2023
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address14689 Garrett Hwy, Oakland, MD 21550-4059

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