Organization
BLOOMING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MENDOZA (ADMINISTRATOR)
(630) 632-5822
Entity
Organization
Contact information
Practice address
21645 HIGHVIEW ST, CLINTON TWP, MI 48036-3736
(586) 438-6411
Mailing address
21645 HIGHVIEW ST, CLINTON TWP, MI 48036-3736
(586) 438-6411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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