| Blooming Magnolia Counseling Llc | |
|
230 Independence Way # 1082 Danvers MA 01923-3692 | |
| (978) 717-3303 | |
| (855) 797-7576 |
| Full Name | Blooming Magnolia Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 230 Independence Way # 1082, Danvers, Massachusetts |
| Authorized Official Name and Position | Genesis Barrientos (CLINICIAN) |
| Authorized Official Contact | 7819137936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Magnolia Counseling Llc 230 Independence Way # 1082 Danvers MA 01923-3692 Ph: (978) 717-3303 | Blooming Magnolia Counseling Llc 230 Independence Way # 1082 Danvers MA 01923-3692 Ph: (978) 717-3303 |
| NPI Number | 1619674744 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619674744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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