Blissful Intentions LLC
NPI #1144079765 in Somerset, New Jersey
Provider Information
- NPI Number
- 1144079765
- Entity Type
- Organization
- Organization Name
- Blissful Intentions LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- May 15, 2024
- Last Updated
- May 15, 2024
Practice Location
- Address
- 122 GIRARD AVE
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-2417
- Phone
- (717) 341-8790
Authorized Official
- Name
- KHADIJA FOFANA, APN
- Title
- OWNER
- Phone
- (717) 341-8790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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