# ORCHID BLOSSOM ACUPUNCTURE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1467867861
- **Authorized official:** TAKIESA GRANT L.AC. (OWNER)
- **Authorized official phone:** (912) 596-8911

## Contact information

- **Practice address:** 7750 MONTPELIER RD, LAUREL, MD 20723-6010
- **Practice address phone:** (912) 596-8911
- **Mailing address:** 10645 GRAMERCY PL, \#351, COLUMBIA, MD 21044-6073
- **Mailing address phone:** (912) 596-8911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02158 | MD | Yes |

## Other

- **Enumeration date:** 06/24/2014
- **Last updated:** 06/24/2014