BLOSSOM WORKS THERAPY LLC NPI 1154194009

NPI Information

NPI: 1154194009
Provider Name: BLOSSOM WORKS THERAPY LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4744 N ROYAL ATLANTA DR STE A
TUCKER, GA
ZIP 30084
Phone: (770) 284-1033
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BLOSSOM WORKS THERAPY LLC is a professional counselor in Tucker, GA. BLOSSOM WORKS THERAPY LLC NPI is 1154194009. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4744 N ROYAL ATLANTA DR STE A
TUCKER, GA
ZIP 30084-820
Phone: (770) 284-1033
Fax: (470) 523-4429

The provider's authorized official is Shatrece Jenkins .
The authorized official title is Owner and has the following contact phone number (770) 284-1033.

The enumeration date for this NPI number is 11/2/2023 and was last updated on 12/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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