Blossoming Minds Psychological Services, Llc

LBN: Blossoming Minds Psychological Services, Llc
Blossoming Minds Psychological Services, Llc is an health care organization with primary practice located at 14074 Trade Center Dr Ste 208 , Fishers IN 46038-4574. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Blossoming Minds Psychological Services, Llc can be contacted via phone (317) 967-4099, or through Liedtke, Christine Marie via phone (317) 967-4099.

Contact Information

Primary practice address
14074 Trade Center Dr Ste 208 Fishers IN 46038-4574
Phone: (317) 967-4099
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liedtke, Christine Marie PSYD., HSPP
Phone: (317) 967-4099

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1649037730
LBN Legal business name Blossoming Minds Psychological Services, Llc
DBA Doing business as
Authorized official Liedtke, Christine Marie PSYD., HSPP
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2024
Last updated Mar 5th, 2024 - about 2 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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