Organization
EVER BLOOMING THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA SIETSEMA MSW (OWNER)
(304) 785-0815
Entity
Organization
Contact information
Practice address
118 JOSEPH AVE, WILLIAMSON, WV 25661-3306
(304) 785-9815
Mailing address
PO BOX 2274, WILLIAMSON, WV 25661-2274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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