| Blossoming Minds Health Center And Family Services Llc | |
|
405 Gretna Blvd Ste 205 Gretna LA 70053-4971 | |
| (504) 233-2288 | |
| (844) 870-0727 |
| Full Name | Blossoming Minds Health Center And Family Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 405 Gretna Blvd Ste 205, Gretna, Louisiana |
| Authorized Official Name and Position | Ebony Evans (OWNER) |
| Authorized Official Contact | 5042332288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossoming Minds Health Center And Family Services Llc 405 Gretna Blvd Ste 205 Gretna LA 70053-4971 Ph: (504) 233-2288 | Blossoming Minds Health Center And Family Services Llc 405 Gretna Blvd Ste 205 Gretna LA 70053-4971 Ph: (504) 233-2288 |
| NPI Number | 1144811852 |
|---|---|
| Provider Enumeration Date | 01/27/2021 |
| Last Update Date | 02/17/2023 |
| Certification Date | 02/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144811852 | NPI | - | NPPES |
| 3228921 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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