Organization
BLOSSOMING ESSENCE COUNSELING COACHING & CONSULTING
Active
Organization
BLOSSOMING ESSENCE COUNSELING COACHING & CONSULTING
Active
Other names
Blossoming Essence Counseling & Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUETTA LEE LCSW (MANAGING OWNER)
(352) 672-1214
Entity
Organization
Contact information
Practice address
15202 NW 147TH DR STE 1200, #176, ALACHUA, FL 32615-5336
(352) 672-1214
Mailing address
15202 NW 147TH DR STE 1200, ALACHUA, FL 32615-5336
(352) 672-1214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467917864
NPI
FL
Enumeration date
11/17/2020
Last updated
11/17/2020
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