| Blossom Therapy LLC | |
|
3618 Canyon Lake Dr Ste 107 Rapid City SD 57702-3129 | |
| (605) 608-2255 | |
| Not Available |
| Full Name | Blossom Therapy LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3618 Canyon Lake Dr Ste 107, Rapid City, South Dakota |
| Authorized Official Name and Position | Carla Starr (THERAPIST/OWNER) |
| Authorized Official Contact | 6056082255 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Therapy LLC 3213 W Main St # 259 Rapid City SD 57702-2314 Ph: (605) 608-2255 | Blossom Therapy LLC 3618 Canyon Lake Dr Ste 107 Rapid City SD 57702-3129 Ph: (605) 608-2255 |
| NPI Number | 1073433389 |
|---|---|
| Provider Enumeration Date | 07/16/2026 |
| Last Update Date | 08/09/2026 |
| Certification Date | 08/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073433389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
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