| Blossom Beyond Therapy Llc | |
|
77 Ridge Rd Apt 204 North Arlington NJ 07031-6475 | |
| (201) 429-5404 | |
| Not Available |
| Full Name | Blossom Beyond Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 77 Ridge Rd Apt 204, North Arlington, New Jersey |
| Authorized Official Name and Position | Kemi Bakare (OWNER) |
| Authorized Official Contact | 2014295404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Beyond Therapy Llc 77 Ridge Rd Apt 204 North Arlington NJ 07031-6475 Ph: (201) 429-5404 | Blossom Beyond Therapy Llc 77 Ridge Rd Apt 204 North Arlington NJ 07031-6475 Ph: (201) 429-5404 |
| NPI Number | 1285465971 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285465971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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