| Blossom Counseling Services Lcsw Pllc | |
|
40 Montauk Hwy Southampton NY 11968-4119 | |
| (631) 953-3249 | |
| Not Available |
| Full Name | Blossom Counseling Services Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 40 Montauk Hwy, Southampton, New York |
| Authorized Official Name and Position | Aiyana Smith (OWNER) |
| Authorized Official Contact | 6319533249 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling Services Lcsw Pllc 26 Hill St Ste 114 Southampton NY 11968-5317 Ph: () - | Blossom Counseling Services Lcsw Pllc 40 Montauk Hwy Southampton NY 11968-4119 Ph: (631) 953-3249 |
| NPI Number | 1942095682 |
|---|---|
| Provider Enumeration Date | 04/14/2025 |
| Last Update Date | 04/14/2025 |
| Certification Date | 04/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942095682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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