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Organization
BLOSSOM TREE HEALTHCARE LLC
Active
Organization
BLOSSOM TREE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN ERIC ASAMOAH (MANAGER)
(859) 878-9242
Entity
Organization
Contact information
Practice address
330 EVERGREEN RD STE 8, LOUISVILLE, KY 40243-1096
(502) 418-4629
(502) 251-4829
Mailing address
330 EVERGREEN RD STE 8, LOUISVILLE, KY 40243-1096
(502) 418-4629
(502) 251-4829
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
04/02/2026
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