Organization
BLUEFLAME ENTERPRISES, LLC
Active
Other names
BlueFlame Psychotherapy Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMERA NICOLE RASMUSSEN LPC, LPCC, MS, NCC (OWNER/PSYCHOTHERAPIST)
(801) 755-0282
Entity
Organization
Contact information
Practice address
2243 PARK AVE, PEARLAND, TX 77581-4216
(801) 755-0282
Mailing address
3202 SUMMERWIND CT, PEARLAND, TX 77584-2769
(801) 755-0282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053FR
BLUE CROSS BLUE SHEILD
TX
05
—
23286351
—
NM
01
—
980872
BEACON HEALTH
TX
Enumeration date
09/20/2018
Last updated
09/20/2018
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