BLOSSOM COMMUNITY SERVICES NPI 1447734181

NPI Information

  • NPI: 1447734181
  • Provider Name: BLOSSOM COMMUNITY SERVICES
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: BLOSSOM COMMUNITY SERVICES INC
  • Address: 1911 WILLIMAX AVE
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 780-3082

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NPI Details

BLOSSOM COMMUNITY SERVICES is a community behavioral health in Gastonia, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BLOSSOM COMMUNITY SERVICES NPI is 1447734181. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Blossom Community Services Inc.

The provider's business location address is:

1911 WILLIMAX AVE
GASTONIA, NC
ZIP 28054-440
Phone: (704) 780-3082

The provider's authorized official is Leslie Danielle Dunbar .
The authorized official title is Owner and has the following contact phone number (704) 780-3082.

The enumeration date for this NPI number is 9/19/2018 and was last updated on 12/10/2024.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3251S00000XCommunity/Behavioral HealthYes
4320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
5343800000XSecured Medical Transport (VAN)No
6344600000XTaxiNo
7347C00000XPrivate VehicleNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447734181MEDICAIDNORTH CAROLINA

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: 3/30/2025

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