| Blossom Health Services Llc | |
|
2156 Glencoe Hills Dr Apt 12 Ann Arbor MI 48108 | |
| (734) 347-1690 | |
| Not Available |
| Full Name | Blossom Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mary Beth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Health Services Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Blossom Health Services Llc 2156 Glencoe Hills Dr Apt 12 Ann Arbor MI 48108 Ph: (734) 347-1690 |
| NPI Number | 1427555895 |
|---|---|
| Provider Enumeration Date | 04/11/2018 |
| Last Update Date | 07/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427555895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801065043 (Michigan) | Primary |
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