# BLOSSOM TREE HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1356296768
- **Authorized official:** STEPHEN ERIC ASAMOAH (MANAGER)
- **Authorized official phone:** (859) 878-9242

## Contact information

- **Practice address:** 330 EVERGREEN RD STE 8, LOUISVILLE, KY 40243-1096
- **Practice address phone:** (502) 418-4629
- **Practice address fax:** (502) 251-4829
- **Mailing address:** 330 EVERGREEN RD STE 8, LOUISVILLE, KY 40243-1096
- **Mailing address phone:** (502) 418-4629
- **Mailing address fax:** (502) 251-4829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | — | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/02/2026
- **Last updated:** 04/02/2026