Organization
BLOSSOM BEYOND THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEMI BAKARE (OWNER)
(201) 429-5404
Entity
Organization
Contact information
Practice address
77 RIDGE RD APT 204, NORTH ARLINGTON, NJ 07031-6475
(201) 429-5404
Mailing address
77 RIDGE RD APT 204, NORTH ARLINGTON, NJ 07031-6475
(201) 429-5404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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