| Blossom Counseling And Wellness Llc | |
| 
					149b Creekside Ln Winchester VA 22602-2447  | |
| (540) 486-0321 | |
| Not Available | 
| Full Name | Blossom Counseling And Wellness Llc | 
|---|---|
| Speciality | Counselor - Professional | 
| Location | 149b Creekside Ln, Winchester, Virginia | 
| Authorized Official Name and Position | Tracy Knight (MANAGER/COUNSELOR) | 
| Authorized Official Contact | 5404860321 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Blossom Counseling And Wellness Llc 322 Morlyn Dr Stephenson VA 22656-2221 Ph: (540) 486-0321  | Blossom Counseling And Wellness Llc 149b Creekside Ln Winchester VA 22602-2447 Ph: (540) 486-0321  | 
| NPI Number | 1699412296 | 
|---|---|
| Provider Enumeration Date | 05/16/2022 | 
| Last Update Date | 05/16/2022 | 
| Certification Date | 05/16/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699412296 | NPI | - | NPPES | 
| 1932783198 | Other | VA | NPI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
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