| Blossoming Roots Therapy Llc | |
|
159 Main St Ste L Agawam MA 01001-1854 | |
| (413) 437-0419 | |
| Not Available |
| Full Name | Blossoming Roots Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 159 Main St Ste L, Agawam, Massachusetts |
| Authorized Official Name and Position | Emely Chenard (LMFT) |
| Authorized Official Contact | 2033614054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Roots Therapy Llc 159 Main St Ste L Agawam MA 01001-1854 Ph: (413) 437-0419 | Blossoming Roots Therapy Llc 159 Main St Ste L Agawam MA 01001-1854 Ph: (413) 437-0419 |
| NPI Number | 1669177077 |
|---|---|
| Provider Enumeration Date | 04/04/2023 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669177077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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