# BLOSSOM BEHAVIORAL HEALTH LLC

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

## Provider details

- **NPI number:** 1932773629
- **Authorized official:** PRINCE ETI (MANAGER)
- **Authorized official phone:** (713) 992-2200

## Contact information

- **Practice address:** 930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
- **Practice address phone:** (509) 694-3135
- **Practice address fax:** (855) 308-6054
- **Mailing address:** 930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
- **Mailing address phone:** (509) 694-3135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/17/2021
- **Last updated:** 02/24/2026