Organization
BLACK EDEN WELLNESS LLC
Active
Organization
BLACK EDEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLAMARYS ELIANE ACEVEDO LCSW, IBCLC (CLINICAL SOCIAL WORKER)
(510) 542-9905
Entity
Organization
Contact information
Practice address
8401 MAYLAND DR STE A, RICHMOND, VA 23294-4648
(510) 542-9905
Mailing address
8401 MAYLAND DR STE A, RICHMOND, VA 23294-4648
(510) 542-9905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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