The Blooming Path LLC
NPI #1013709351 in North Las Vegas, Nevada
Provider Information
- NPI Number
- 1013709351
- Entity Type
- Organization
- Organization Name
- The Blooming Path LLC
- Primary Specialty
- Peer Specialist
- Enumeration Date
- May 21, 2025
- Last Updated
- May 21, 2025
Practice Location
- Address
- 1229 PAVILIONS AVE
- City
- North Las Vegas
- State
- Nevada
- ZIP Code
- 89031-2321
- Phone
- (702) 483-1230
Authorized Official
- Name
- ANIEDRA WELLS, CPRS, CHW-II
- Title
- FOUNDER & MANAGING MEMBER
- Phone
- (702) 670-8900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Peer Specialist |
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| Shavonne Hammann, BCMMHC, CPRSS | |
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| Salvadora Ann Godorov, DSW | |
| Anthony Eugene Braceful, PRSS |
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