BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC
NPI 1003653783
Clinic/Center - Multi-Specialty in Hagerstown, MD

Active since July 10, 2024
338 MILL ST, HAGERSTOWN, MD 21740(240) 347-4494 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blossom Integrated Health And Behavioral Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC (NPI 1003653783) is a healthcare organization registered as a multi-specialty in Hagerstown, Maryland and active in the NPI registry since July 2024. The organization lists Ihuoma Marvelous Udeagha, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1003653783
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC
Location Address338 MILL STHagerstown, MD 21740-6138
Mailing Address338 Mill StHagerstown, MD 21740-6138 · (240) 347-4494
Organization SubpartNo
Authorized OfficialIhuoma Marvelous UdeaghaPmhnp · (240) 347-4497
Enumeration DateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1003653783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
338 MILL ST, Hagerstown, MD 21740

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
338 MILL ST
HAGERSTOWN, MD 21740
Psychiatry & Neurology (Psychiatry)
338 MILL ST
HAGERSTOWN, MD 21740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Integrated Health And Behavioral Services LLC's NPI number?

The NPI number for Blossom Integrated Health And Behavioral Services LLC is 1003653783. It was assigned to this organization in the NPPES registry on July 10, 2024.

Where is Blossom Integrated Health And Behavioral Services LLC located?

Blossom Integrated Health And Behavioral Services LLC is located at 338 Mill St, Hagerstown, MD 21740. The listed phone number is (240) 347-4494.

What is Blossom Integrated Health And Behavioral Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Blossom Integrated Health And Behavioral Services LLC was last updated on July 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.