| Blossom Counseling Services | |
|
61 Main St Southampton NY 11968-4870 | |
| (631) 343-5634 | |
| Not Available |
| Full Name | Blossom Counseling Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Main St, Southampton, New York |
| Authorized Official Name and Position | Aiyana Smith (OWENR) |
| Authorized Official Contact | 6313435634 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling Services 26 Hill St Ste 114 Southampton NY 11968-5317 Ph: () - | Blossom Counseling Services 61 Main St Southampton NY 11968-4870 Ph: (631) 343-5634 |
| NPI Number | 1538725205 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 1759796162 |
|---|---|
| Medicare Enrollment ID | O20210217001777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538725205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Aiyana Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669983219 PECOS PAC ID: 7810326246 Enrollment ID: I20200406000900 |
Samantha Hiotakis Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Main St, Southampton, NY 11968 Phone: 631-255-7715 | |
Lorena Strunk Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Hampton Rd, Southampton, NY 11968 Phone: 917-517-1047 | |
East End Kids Psy, Slp, Ot & Pt Serv. Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 N Sea Rd, Southampton, NY 11968 Phone: 631-267-2900 Fax: 631-267-2950 | |
Anthony Campo Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Hampton Rd Unit 204, Southampton, NY 11968 Phone: 631-259-8000 Fax: 631-259-8656 | |
Matthew Mcdavid Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Hill St Ste 51, Southampton, NY 11968 Phone: 631-904-0844 | |
Alternative Counseling Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Hampton Rd, Southampton, NY 11968 Phone: 631-283-4440 Fax: 631-283-4456 |