| Bloom And Blossom Counseling Services Llc. | |
|
4410 Claiborne Sq E Ste 218 Hampton VA 23666-2071 | |
| (609) 949-2899 | |
| Not Available |
| Full Name | Bloom And Blossom Counseling Services Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4410 Claiborne Sq E Ste 218, Hampton, Virginia |
| Authorized Official Name and Position | Jeylim Wayne (OWNER) |
| Authorized Official Contact | 6099492899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom And Blossom Counseling Services Llc. 1046 Clipper Dr Hampton VA 23669-1025 Ph: (609) 949-2899 | Bloom And Blossom Counseling Services Llc. 4410 Claiborne Sq E Ste 218 Hampton VA 23666-2071 Ph: (609) 949-2899 |
| NPI Number | 1649081795 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649081795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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