| Blossoming Growth Therapy, Llc | |
|
4400 E West Hwy Ste 720 Bethesda MD 20814-4509 | |
| (440) 413-4103 | |
| Not Available |
| Full Name | Blossoming Growth Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 4400 E West Hwy Ste 720, Bethesda, Maryland |
| Authorized Official Name and Position | Angela Calvey (OWNER) |
| Authorized Official Contact | 4404134103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Growth Therapy, Llc 4400 E West Hwy Ste 720 Bethesda MD 20814-4509 Ph: () - | Blossoming Growth Therapy, Llc 4400 E West Hwy Ste 720 Bethesda MD 20814-4509 Ph: (440) 413-4103 |
| NPI Number | 1912755141 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912755141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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