Organization
BLOSSOMING MINDS HEALTH CENTER AND FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY EVANS LPC-S (OWNER)
(504) 233-2288
Entity
Organization
Contact information
Practice address
405 GRETNA BLVD STE 205, GRETNA, LA 70053-4971
(504) 233-2288
(844) 870-0727
Mailing address
405 GRETNA BLVD STE 205, GRETNA, LA 70053-4971
(504) 233-2288
(844) 870-0727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3228921
—
LA
Enumeration date
01/27/2021
Last updated
02/17/2023
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