| Blossom Living Llc | |
|
5441 E 22nd St Tucson AZ 85711-5441 | |
| (619) 578-8416 | |
| (520) 844-6840 |
| Full Name | Blossom Living Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 5441 E 22nd St, Tucson, Arizona |
| Authorized Official Name and Position | Ladywinnie Amoo Allison (DIRECTOR) |
| Authorized Official Contact | 6195788416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Living Llc 2261 S Quail Hollow Dr Tucson AZ 85710-7982 Ph: (619) 578-8416 | Blossom Living Llc 5441 E 22nd St Tucson AZ 85711-5441 Ph: (619) 578-8416 |
| NPI Number | 1962183574 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962183574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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