| Blossom Behavioral Solutions, Llc | |
|
150 Bw Thomas Dr Ste 124 Fort Mill SC 29708-7237 | |
| (704) 586-9581 | |
| Not Available |
| Full Name | Blossom Behavioral Solutions, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 150 Bw Thomas Dr Ste 124, Fort Mill, South Carolina |
| Authorized Official Name and Position | Lindsay Lundquist (OWNER) |
| Authorized Official Contact | 7045869581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Behavioral Solutions, Llc 150 Thomas Dr Ste 124 Fort Mill SC 29708 Ph: (704) 586-9581 | Blossom Behavioral Solutions, Llc 150 Bw Thomas Dr Ste 124 Fort Mill SC 29708-7237 Ph: (704) 586-9581 |
| NPI Number | 1194468025 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194468025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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