# BLUE FIELDS MENTAL HEALTH & WELLNESS, LC

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

## Provider details

- **NPI number:** 1922819713
- **Authorized official:** STEPHANIE JEANETTE BEDAL APRN, PMHNP (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (301) 687-2555

## Contact information

- **Practice address:** 133 E MAIN ST, FROSTBURG, MD 21532-1336
- **Practice address phone:** (301) 687-2555
- **Practice address fax:** (463) 300-5650
- **Mailing address:** 133 E MAIN ST, FROSTBURG, MD 21532-1336
- **Mailing address phone:** (301) 687-2555
- **Mailing address fax:** (463) 300-5650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/10/2026