| Blossom Therapy Llc | |
|
2661 Whitney Ave Hamden CT 06518-2900 | |
| (203) 293-6179 | |
| Not Available |
| Full Name | Blossom Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2661 Whitney Ave, Hamden, Connecticut |
| Authorized Official Name and Position | Jordyn Herman (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 9144177404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Therapy Llc 455 Sherman Ave Apt 29 Hamden CT 06518-2166 Ph: (914) 417-7404 | Blossom Therapy Llc 2661 Whitney Ave Hamden CT 06518-2900 Ph: (203) 293-6179 |
| NPI Number | 1124913462 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Certification Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124913462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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