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

Innerbloom Mental Health Clinics LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104792787

Innerbloom Mental Health Clinics LLC is a Psychiatric/Mental Health Nurse Practitioner in Waldorf, Maryland. Registered with an NPI since 2025.

In the registry since
2025
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

3460 Old Washington Rd Ste 203A
Waldorf, MD 20602-3243
Phone: (240) 421-4164
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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 number1104792787
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rahmot Raji — Authorized Official · (240) 421-4164
NPI enumeratedOctober 13, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address3460 Old Washington Rd Ste 203a, Waldorf, MD 20602-3243

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