Blossom & Sprout Wellness, Pllc

NPI #1932950953 in Zion, Illinois

Provider Information

NPI Number: 1932950953
Entity Type: Organization
Organization Name: Blossom & Sprout Wellness, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Mar 28, 2024
Last Updated: Nov 29, 2024

Practice Location

Address: 3238 GABRIEL AVE
City: Zion
State: Illinois
ZIP Code: 60099-3131
Phone: (224) 788-0188

Authorized Official

Name: LAFAY ERVING, LCPC
Title: EXECUTIVE CLINICAL DIRECTOR
Phone: (224) 237-8037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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