| Blossoming Free Mental Health Counseling Pllc | |
|
215 Iris Cir Moyock NC 27958-7024 | |
| (845) 717-0166 | |
| Not Available |
| Full Name | Blossoming Free Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 215 Iris Cir, Moyock, North Carolina |
| Authorized Official Name and Position | Jessica Burroughs (CEO) |
| Authorized Official Contact | 9735576639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Free Mental Health Counseling Pllc Po Box 35 Moyock NC 27958-0035 Ph: (845) 717-0166 | Blossoming Free Mental Health Counseling Pllc 215 Iris Cir Moyock NC 27958-7024 Ph: (845) 717-0166 |
| NPI Number | 1619845880 |
|---|---|
| Provider Enumeration Date | 10/28/2025 |
| Last Update Date | 10/28/2025 |
| Certification Date | 10/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619845880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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