Organization Active NPI

Full Bloom Health Services LLC

  • Community/Behavioral Health Agency
  • Ft Washington, MD
National Provider Identifier
1003762063
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULL BLOOM HEALTH SERVICES LLC
Practice address
7111 Allentown Rd Ste 102
Ft Washington, MD 20744-1539
Phone
(202) 246-7428
Fax
(240) 493-7452
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Akaira Dehaney
Title
Ceo
Phone
(202) 246-7428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

7111 Allentown Rd Ste 102
Ft Washington, MD 20744-1539

Mailing address

7111 Allentown Rd Ste 102
Ft Washington, MD 20744-1539
Phone (202) 246-7428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1003762063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 ALLENTOWN RD STE 102",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207441539",
            "telephone_number": "202-246-7428",
            "fax_number": "240-493-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 ALLENTOWN RD STE 102",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207441539",
            "telephone_number": "202-246-7428",
            "fax_number": "240-493-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "DEHANEY",
        "authorized_official_first_name": "AKAIRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-246-7428"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.