# BLOSSOM WELLNESS SPA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Self Care Continuum, Blossom Wellness Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336858869
- **Authorized official:** JEANNE PRINZIVALLI M.A. LMFT (PRESIDENT/OWNER/LMFT)
- **Authorized official phone:** (310) 806-5386

## Contact information

- **Practice address:** 10642 SANTA MONICA BLVD APT 209, LOS ANGELES, CA 90025-4850
- **Practice address phone:** (323) 879-7809
- **Practice address fax:** (323) 879-3899
- **Mailing address:** 10008 NATIONAL BLVD \# 236, LOS ANGELES, CA 90034-3809
- **Mailing address phone:** (323) 879-7809
- **Mailing address fax:** (323) 879-3899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/23/2022
- **Last updated:** 09/29/2026