Organization
BLOSSOM THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA AILENE PEARSON LCSW (OWNER)
(804) 477-2518
Entity
Organization
Contact information
Practice address
1800 BRIARCLIFF RD, RICHMOND, VA 23225-2306
(804) 477-2518
Mailing address
2711 BUFORD RD # 253, NORTH CHESTERFIELD, VA 23235-2423
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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