# BLOSSOMING ROOTS THERAPY LLC

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

## Provider details

- **NPI number:** 1669177077
- **Authorized official:** EMELY CHENARD (LMFT)
- **Authorized official phone:** (203) 361-4054

## Contact information

- **Practice address:** 159 MAIN ST STE L, AGAWAM, MA 01001-1854
- **Practice address phone:** (413) 437-0419
- **Mailing address:** 159 MAIN ST STE L, AGAWAM, MA 01001-1854
- **Mailing address phone:** (413) 437-0419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 04/04/2023