# BLOSSOMING MINDS PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLOSSOMING MINDS PEDIATRICS
- **Other names:** Culex Wellness
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558173559
- **Legal business name:** BLOSSOMING MINDS PEDIATRICS
- **Authorized official:** DR. KEYVAN RAFEI MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (240) 506-0739

## Contact information

- **Practice address:** 13994 BALTIMORE AVE STE 101, LAUREL, MD 20707-5174
- **Practice address phone:** (410) 656-4775
- **Mailing address:** 11540 CHAPEL RISE, CLARKSVILLE, MD 21029-1464
- **Mailing address phone:** (240) 506-0739
- **Mailing address fax:** (410) 378-8327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/25/2025
- **Last updated:** 08/11/2026