Blossom Minds Llc

LBN: Blossom Minds Llc
Blossom Minds Llc is an health care organization with primary practice located at 2645 Executive Park Dr Ste 534 , Weston FL 33331-3624. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as the primary health care specialty. Blossom Minds Llc can be contacted via phone (954) 512-4827, or through Corujo Feijoo, Maria via phone (954) 512-4827.

Contact Information

Primary practice address
2645 Executive Park Dr Ste 534 Weston FL 33331-3624
Phone: (954) 512-4827
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corujo Feijoo, Maria BCBA
Phone: (954) 512-4827

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1871217620
LBN Legal business name Blossom Minds Llc
DBA Doing business as
Authorized official Corujo Feijoo, Maria BCBA
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2022
Last updated Sep 26th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871217620 NPPES
Florida MEDICAID 1164975355

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