| Blossom On Purpose Therapy & Consulting, Llc | |
|
140 Municipal Drive Jacksonville AR 72076-4274 | |
| (501) 243-8977 | |
| Not Available |
| Full Name | Blossom On Purpose Therapy & Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 140 Municipal Drive, Jacksonville, Arkansas |
| Authorized Official Name and Position | Vicky Baker (OWNER/THERAPIST) |
| Authorized Official Contact | 5012438977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom On Purpose Therapy & Consulting, Llc 140 Municipal Dr Jacksonville AR 72076-4274 Ph: () - | Blossom On Purpose Therapy & Consulting, Llc 140 Municipal Drive Jacksonville AR 72076-4274 Ph: (501) 243-8977 |
| NPI Number | 1063209823 |
|---|---|
| Provider Enumeration Date | 04/23/2025 |
| Last Update Date | 04/23/2025 |
| Certification Date | 04/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063209823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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