Organization
BLOSSOM CENTER FOR INTEGRATIVE PSYCHIATRY LLC
Active
Other names
Blossom Center for Integrative Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WEISHENG MAO MD (OWNER)
(703) 543-9421
Entity
Organization
Contact information
Practice address
1800 DIAGONAL RD STE 600, ALEXANDRIA, VA 22314-2840
(703) 543-9421
Mailing address
1800 DIAGONAL RD STE 600, ALEXANDRIA, VA 22314-2840
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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