BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC
NPI 1043057722
Nurse Practitioner - Psychiatric/Mental Health in Hagerstown, MD

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

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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: August 09, 2026.

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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 1043057722) is a healthcare organization registered as a psychiatric/mental health in Hagerstown, Maryland and active in the NPI registry since July 2024. The organization lists Ihuoma Marvelous Udeagha, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043057722

Entity TypeOrganization

Primary Taxonomy363LP0808X

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

Phone(240) 347-4494

Organization SubpartNo

Authorized OfficialIhuoma Marvelous UdeaghaCeo · (240) 347-4494

Enumeration DateJuly 10, 2024

NPPES CertifiedJuly 10, 2024

✔ NPI 1043057722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

338 MILL ST, Hagerstown, MD 21740

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC

Clinic/Center (Multi-Specialty)

338 MILL ST
HAGERSTOWN, MD 21740

Washington County (240) 347-4494

BLOSSOM INTEGRATED HEALTH AND BEHAVIORAL SERVICES LLC

Psychiatry & Neurology (Psychiatry)

338 MILL ST
HAGERSTOWN, MD 21740

Washington County (240) 347-4494

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 1043057722. 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 Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.