Organization
BLAZING STAR THERAPY LLC
Active
Other names
Blazing Star Therapy PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN EADS LCSW (MEMBER)
(765) 413-4976
Entity
Organization
Contact information
Practice address
2320 E ROCK CREEK DR, BLOOMINGTON, IN 47401-6854
(765) 413-4976
Mailing address
2320 E ROCK CREEK DR, BLOOMINGTON, IN 47401-6854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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