| Blooming Hearts,llc | |
|
6600 N Oracle Rd Suite 110 Tucson AZ 85704-5676 | |
| (520) 481-9629 | |
| Not Available |
| Full Name | Blooming Hearts,llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6600 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Robin Mimna Knapik (COUNSELOR) |
| Authorized Official Contact | 5204819629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Hearts,llc 6160 N Paseo Zaldivar Tucson AZ 85750-1294 Ph: (520) 797-0521 | Blooming Hearts,llc 6600 N Oracle Rd Suite 110 Tucson AZ 85704-5676 Ph: (520) 481-9629 |
| NPI Number | 1023059839 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023059839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC 10390 (Arizona) | Primary |
| 101YM0800X | Counselor - Mental Health | LPC 12100 (Arizona) | Primary |
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