Organization
BLOSSOM ON PURPOSE THERAPY & CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY BAKER LCSW (OWNER/THERAPIST)
(501) 243-8977
Entity
Organization
Contact information
Practice address
140 MUNICIPAL DRIVE, JACKSONVILLE, AR 72076-4274
(501) 243-8977
Mailing address
140 MUNICIPAL DR, JACKSONVILLE, AR 72076-4274
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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