Organization
BLOSSOM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE ETI (MANAGER)
(713) 992-2200
Entity
Organization
Contact information
Practice address
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
(509) 694-3135
(855) 308-6054
Mailing address
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206-4004
(509) 694-3135
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
02/24/2026
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