Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC
Active OrganizationBLOSSOM WHOLE FAMILY THERAPY & CHILD PSYCHOLOGY CENTER, PLLC is a Adolescent and Children Mental Health Clinic organization located in MINNETONKA, Minnesota. NPI 1194059642 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · MINNETONKA, MN
Registration Details
- NPI Number
- 1194059642
- Provider Type
- Organization
- NPI Issued
- Sep 30, 2009 (16.826986064792 yrs)
- Last Updated
- Aug 28, 2023
- Licenses
-
LP4976 (MN)LP4976 (MN)LP4976 (MN)
Practice Information
- Address
-
10505 WAYZATA BLVD STE 103MINNETONKA, MN, 553051507Browse MN providers · Browse ZIP 55305
- Phone
- 9525453300
- Fax
- 9525453300
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
- Additional Specialty
- Mental Health Clinic
- Additional Specialty
- Adult Mental Health Clinic
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.