| Blossom Within Therapy,llc | |
|
95-227 Waikalani Dr Apt A905 Mililani HI 96789-3539 | |
| (206) 473-9732 | |
| Not Available |
| Full Name | Blossom Within Therapy,llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 95-227 Waikalani Dr Apt A905, Mililani, Hawaii |
| Authorized Official Name and Position | Bridget Ellen Carranza (THERAPIST) |
| Authorized Official Contact | 8088415676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Within Therapy,llc 95-227 Waikalani Dr Apt A905 Mililani HI 96789-3539 Ph: (206) 473-9732 | Blossom Within Therapy,llc 95-227 Waikalani Dr Apt A905 Mililani HI 96789-3539 Ph: (206) 473-9732 |
| NPI Number | 1013646090 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/06/2022 |
| Certification Date | 06/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013646090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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