Blossom Therapy, Llc | |
111 Vine St Pocomoke City MD 21851-1034 | |
(443) 880-8602 | |
Not Available |
Full Name | Blossom Therapy, Llc |
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Speciality | Social Worker |
Location | 111 Vine St, Pocomoke City, Maryland |
Authorized Official Name and Position | Gwen Adkins (OFFICE MANAGER) |
Authorized Official Contact | 4107266723 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Blossom Therapy, Llc 335 Winter Quarters Dr Pocomoke City MD 21851-1044 Ph: (443) 880-8602 | Blossom Therapy, Llc 111 Vine St Pocomoke City MD 21851-1034 Ph: (443) 880-8602 |
NPI Number | 1326814781 |
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Provider Enumeration Date | 11/28/2023 |
Last Update Date | 11/28/2023 |
Certification Date | 11/28/2023 |
Medicare PECOS PAC ID | 8325490899 |
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Medicare Enrollment ID | O20240119003014 |
Identifier | Type | State | Issuer |
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1326814781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sara Elizabeth Linton |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871040022 PECOS PAC ID: 7416322730 Enrollment ID: I20230418002168 |
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