Organization
BLOSSOM COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA J SANDERS-DAVIS LCMHC (OWNER)
(910) 442-6000
Entity
Organization
Contact information
Practice address
1030 LANTERNS LN, LELAND, NC 28451-9381
(910) 442-6000
Mailing address
1030 LANTERNS LN, LELAND, NC 28451-9381
(910) 442-6000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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