Blossom Counseling Services
NPI #1538725205 in Southampton, New York
Provider Information
- NPI Number
- 1538725205
- Entity Type
- Organization
- Organization Name
- Blossom Counseling Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- May 17, 2019
- Last Updated
- May 30, 2024
Practice Location
- Address
- 61 MAIN ST
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4870
- Phone
- (631) 343-5634
Authorized Official
- Name
- AIYANA SMITH
- Title
- OWENR
- Phone
- (631) 343-5634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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