# BLOOMING PRAIRIE PSYCHOLOGY

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

## Provider details

- **NPI number:** 1346077369
- **Authorized official:** SARA KRISTINE KENNEY PSYD (OWNER)
- **Authorized official phone:** (701) 739-4729

## Contact information

- **Practice address:** 4521 OTTAWA ST STE 209, BISMARCK, ND 58503-6196
- **Practice address phone:** (701) 202-8651
- **Mailing address:** 4521 OTTAWA ST STE 209, BISMARCK, ND 58503-6196
- **Mailing address phone:** (701) 202-8651
- **Mailing address fax:** (701) 425-0421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2024
- **Last updated:** 09/23/2025