| Blooming Together LLC | |
|
411 W 5th Ave Truth Or Consequences NM 87901-2204 | |
| (575) 740-7645 | |
| Not Available |
| Full Name | Blooming Together LLC |
|---|---|
| Speciality | Social Worker |
| Location | 411 W 5th Ave, Truth Or Consequences, New Mexico |
| Authorized Official Name and Position | Katrina Carroll (OWNER) |
| Authorized Official Contact | 5757407645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Together LLC 411 W 5th Ave Truth Or Consequences NM 87901-2204 | Blooming Together LLC 411 W 5th Ave Truth Or Consequences NM 87901-2204 Ph: (575) 740-7645 |
| NPI Number | 1205670403 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205670403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (NU) | Primary |
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