| Blooming Minds Therapy Llc | |
|
213 Outlaw St Chesapeake VA 23320-6327 | |
| (718) 213-0962 | |
| Not Available |
| Full Name | Blooming Minds Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 213 Outlaw St, Chesapeake, Virginia |
| Authorized Official Name and Position | Tia Redman (CEO/FOUNDER) |
| Authorized Official Contact | 7182130962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Minds Therapy Llc 213 Outlaw St Chesapeake VA 23320-6327 Ph: (718) 213-0962 | Blooming Minds Therapy Llc 213 Outlaw St Chesapeake VA 23320-6327 Ph: (718) 213-0962 |
| NPI Number | 1548907819 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548907819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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