Blooming Abilities, Llc | |
24939 E Bergamot Ct Liberty Lake WA 99019-6036 | |
(314) 570-9205 | |
Not Available |
Full Name | Blooming Abilities, Llc |
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Speciality | Community/behavioral Health |
Location | 24939 E Bergamot Ct, Liberty Lake, Washington |
Authorized Official Name and Position | Joline Messina (BCBA) |
Authorized Official Contact | 3145709205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blooming Abilities, Llc 1324 N Liberty Lake Rd # 193 Liberty Lake WA 99019-8523 Ph: (314) 570-9205 | Blooming Abilities, Llc 24939 E Bergamot Ct Liberty Lake WA 99019-6036 Ph: (314) 570-9205 |
NPI Number | 1972080471 |
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Provider Enumeration Date | 07/26/2018 |
Last Update Date | 07/26/2018 |
Identifier | Type | State | Issuer |
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1972080471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | BA60835859 (Washington) | Primary |
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