# BLOSSOM VALLEY BEHAVIORAL HEALTH, LLC

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

## Provider details

- **NPI number:** 1982327912
- **Authorized official:** MRS. BRANDI JO LARSON ARNP (OWNER)
- **Authorized official phone:** (509) 253-5881

## Contact information

- **Practice address:** 25 N WENATCHEE AVE STE 207A, WENATCHEE, WA 98801-2283
- **Practice address phone:** (509) 253-5881
- **Practice address fax:** (509) 960-9470
- **Mailing address:** 522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
- **Mailing address phone:** (509) 253-5881
- **Mailing address fax:** (509) 960-9470

## 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:** 09/23/2022
- **Last updated:** 02/03/2023