Blooming Therapy LLC
NPI #1992572952 in Clinton Twp, Michigan
Provider Information
- NPI Number
- 1992572952
- Entity Type
- Organization
- Organization Name
- Blooming Therapy LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Dec 8, 2023
- Last Updated
- Dec 8, 2023
Practice Location
- Address
- 21645 HIGHVIEW ST
- City
- Clinton Twp
- State
- Michigan
- ZIP Code
- 48036-3736
- Phone
- (586) 438-6411
Authorized Official
- Name
- BRIAN MENDOZA
- Title
- ADMINISTRATOR
- Phone
- (630) 632-5822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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