| Blossom Works Therapy Llc | |
|
4744 N Royal Atlanta Dr Ste A Tucker GA 30084-3820 | |
| (770) 284-1033 | |
| (470) 523-4429 |
| Full Name | Blossom Works Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4744 N Royal Atlanta Dr Ste A, Tucker, Georgia |
| Authorized Official Name and Position | Shatrece Jenkins (OWNER) |
| Authorized Official Contact | 7702841033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Works Therapy Llc 4744 N Royal Atlanta Dr Ste A Tucker GA 30084-3820 Ph: (770) 284-1033 | Blossom Works Therapy Llc 4744 N Royal Atlanta Dr Ste A Tucker GA 30084-3820 Ph: (770) 284-1033 |
| NPI Number | 1154194009 |
|---|---|
| Provider Enumeration Date | 11/02/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154194009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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