Organization
LAVENDER BLOOM MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DIA O'BRIEN (OWNER)
(860) 419-9399
Entity
Organization
Contact information
Practice address
185 PATTERSON ST, TORRINGTON, CT 06790-5536
(860) 419-9399
(585) 361-6947
Mailing address
185 PATTERSON ST, TORRINGTON, CT 06790-5536
(860) 419-9399
(585) 361-6947
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
07/10/2025
Last updated
07/10/2025
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