| Blooming Behavioral & Supports | |
|
3685 S Hazel Ct Englewood CO 80110-3219 | |
| (720) 472-1149 | |
| Not Available |
| Full Name | Blooming Behavioral & Supports |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3685 S Hazel Ct, Englewood, Colorado |
| Authorized Official Name and Position | Staci C Alley (EXECUTIVE DIRECTOR/FOUNDER) |
| Authorized Official Contact | 7204721149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Behavioral & Supports 3685 S Hazel Ct Englewood CO 80110-3219 Ph: (720) 472-1149 | Blooming Behavioral & Supports 3685 S Hazel Ct Englewood CO 80110-3219 Ph: (720) 472-1149 |
| NPI Number | 1568251312 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568251312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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