# BLOSSOM MENTAL HEALTH SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003596412
- **Authorized official:** SANDEEP GREWAL NP (MANAGER/OWNER)
- **Authorized official phone:** (206) 643-7988

## Contact information

- **Practice address:** 2722 COLBY AVE STE 328, EVERETT, WA 98201-3531
- **Practice address phone:** (425) 740-3600
- **Mailing address:** 2722 COLBY AVE STE 328, EVERETT, WA 98201-3531
- **Mailing address phone:** (425) 740-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 07/20/2023