Blossom Counseling Services Lcsw Pllc
NPI #1942095682 in Southampton, New York
Provider Information
- NPI Number
- 1942095682
- Entity Type
- Organization
- Organization Name
- Blossom Counseling Services Lcsw Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Apr 14, 2025
- Last Updated
- Apr 14, 2025
Practice Location
- Address
- 40 MONTAUK HWY
- City
- Southampton
- State
- New York
- ZIP Code
- 11968-4119
- Phone
- (631) 953-3249
Authorized Official
- Name
- AIYANA SMITH, LCSW
- Title
- OWNER
- Phone
- (631) 953-3249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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