Organization
BLOSSOMING MINDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KESHA BLUNT WILLIAMS PHD, LSW, LCDCIII (CEO)
(513) 642-9951
Entity
Organization
Contact information
Practice address
4724 VINE ST, CINCINNATI, OH 45217-1254
(513) 642-9951
Mailing address
4724 VINE ST, CINCINNATI, OH 45217-1254
(513) 642-9951
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/23/2020
Last updated
01/22/2021
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