| Blooming Minds, Pllc | |
|
4700 Riverwood Cir Apt 368 Raleigh NC 27612-5761 | |
| (313) 673-1444 | |
| Not Available |
| Full Name | Blooming Minds, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4700 Riverwood Cir Apt 368, Raleigh, North Carolina |
| Authorized Official Name and Position | Pamela V Blanks (OWNER) |
| Authorized Official Contact | 3136731444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Minds, Pllc 4700 Riverwood Cir Apt 368 Raleigh NC 27612-5761 Ph: (313) 673-1444 | Blooming Minds, Pllc 4700 Riverwood Cir Apt 368 Raleigh NC 27612-5761 Ph: (313) 673-1444 |
| NPI Number | 1114649019 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Certification Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114649019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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