Organization
BLOOMING MENTAL HEALTH THERAPY PLLC
Active
Other names
Blooming Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ANN DESCHENE M.ED, LPCC (CEO)
(701) 429-4008
Entity
Organization
Contact information
Practice address
1205 16TH AVE S, FARGO, ND 58103-4162
(701) 429-4088
Mailing address
6730 72ND AVE S, HORACE, ND 58047-9570
(701) 429-4008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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