| Blooming Therapy Llc | |
|
21645 Highview St Clinton Twp MI 48036-3736 | |
| (586) 438-6411 | |
| Not Available |
| Full Name | Blooming Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 21645 Highview St, Clinton Twp, Michigan |
| Authorized Official Name and Position | Brian Mendoza (ADMINISTRATOR) |
| Authorized Official Contact | 6306325822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Therapy Llc 21645 Highview St Clinton Twp MI 48036-3736 Ph: (586) 438-6411 | Blooming Therapy Llc 21645 Highview St Clinton Twp MI 48036-3736 Ph: (586) 438-6411 |
| NPI Number | 1992572952 |
|---|---|
| Provider Enumeration Date | 12/08/2023 |
| Last Update Date | 12/08/2023 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992572952 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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