# BLUEWAVES MENTAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770309155
- **Authorized official:** OLUFUNKE A CARTER (PMHNP-BC)
- **Authorized official phone:** (301) 732-9954

## Contact information

- **Practice address:** 9717 TRAVER ST, BOWIE, MD 20721-1867
- **Practice address phone:** (301) 732-9954
- **Mailing address:** 9717 TRAVER ST, BOWIE, MD 20721-1867
- **Mailing address phone:** (301) 732-9954
- **Mailing address fax:** (240) 667-0476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2024
- **Last updated:** 09/22/2026