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Organization

BLUE FIELDS MENTAL HEALTH & WELLNESS, LC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE JEANETTE BEDAL APRN, PMHNP (OWNER/AUTHORIZED OFFICIAL)
(301) 687-2555
Entity
Organization

Contact information

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

Taxonomy

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

Other

Enumeration date
01/20/2025
Last updated
01/10/2026
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