Organization
BLOSSOM THERAPY LLC
Active
Parent organization
BLOSSOM THERAPY DBA
Other names
Blossom Therapy DBA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOSSOM THERAPY DBA
Authorized official
WENNDY I CONTRERAS LPC (OWNER/THERAPIST)
(512) 350-1707
Entity
Organization
Contact information
Practice address
3811 BEE CAVES RD STE 204, WEST LAKE HILLS, TX 78746-6459
(512) 350-1707
Mailing address
630 WILD ROSE DR, AUSTIN, TX 78737-4705
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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