Black Eden Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLACK EDEN WELLNESS LLC

Practice address

8401 Mayland Dr Ste a
Richmond, VA 23294-4648

Phone

(510) 542-9905

NPI assigned

Jul 3, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Glamarys Eliane Acevedo, LCSW, IBCLCNPI 1720710619

Title

Clinical Social Worker

Phone

(510) 542-9905

Specialties & licenses 1

Addresses

Practitioners 1

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

• Glamarys Acevedo, ASW, IBCLC, MPH

  • Clinical Social Worker
  • San Francisco, CA
  • NPI 1720710619
  NPD Authorized official

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1083503908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "510-542-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAYLAND DR STE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944648",
            "telephone_number": "510-542-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK EDEN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "GLAMARYS",
        "authorized_official_middle_name": "ELIANE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "510-542-9905",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, IBCLC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kathryn Bittner, M.D.
• Jill Bixby, NP
• BJ'S Wholesale Club Inc.
• Leah Rishona Blachman
• Black Cardinal Behavioral Health, PLLC
• Amy Elizabeth Black, NP-C
• Circe S. Black
• Danielle Loretta Black, MD, MPH
• Elena Black, DDS, PHD
• Melanie Black, LPC

• Community/Behavioral Health Agency in Richmond, VA
• Providers in Richmond, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.