| Blossom Counseling Center Pllc | |
|
1030 Lanterns Ln Leland NC 28451-9381 | |
| (910) 442-6000 | |
| Not Available |
| Full Name | Blossom Counseling Center Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1030 Lanterns Ln, Leland, North Carolina |
| Authorized Official Name and Position | Valencia J Sanders-davis (OWNER) |
| Authorized Official Contact | 9104426000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling Center Pllc 1030 Lanterns Ln Leland NC 28451-9381 Ph: (910) 442-6000 | Blossom Counseling Center Pllc 1030 Lanterns Ln Leland NC 28451-9381 Ph: (910) 442-6000 |
| NPI Number | 1942922828 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942922828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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