Organization
BLOSSOM COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KNIGHT LPC (MANAGER/COUNSELOR)
(540) 486-0321
Entity
Organization
Contact information
Practice address
149B CREEKSIDE LN, WINCHESTER, VA 22602-2447
(540) 486-0321
Mailing address
322 MORLYN DR, STEPHENSON, VA 22656-2221
(540) 486-0321
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932783198
NPI
VA
Enumeration date
05/16/2022
Last updated
05/16/2022
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