Organization
BLOOMING MINDS PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE PARK PSY.D (PSYCHOLOGIST)
(347) 470-4704
Entity
Organization
Contact information
Practice address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(347) 470-4704
Mailing address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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