BLOSSOM CARE AND BEHAVIORAL SERVICES INC
NPI 1043834757
Nurse Practitioner - Psychiatric/Mental Health in Bowie, MD
Active since May 29, 2020
About Blossom Care And Behavioral Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLOSSOM CARE AND BEHAVIORAL SERVICES INC (NPI 1043834757) is a healthcare organization registered as a psychiatric/mental health in Bowie, Maryland and active in the NPI registry since May 2020. The organization lists Wakeelat A Adeoye, President, as its authorized official.
NPPES Registry Identity
NPI1043834757
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOSSOM CARE AND BEHAVIORAL SERVICES INC
Location Address15601 PEACH ORCHARD WAYBowie, MD 20716-1543
Mailing Address15601 Peach Orchard WayBowie, MD 20716-1543 · (202) 415-0285
Phone(202) 415-0285
Organization SubpartNo
Authorized OfficialWakeelat A AdeoyePresident · (202) 415-0285
Enumeration DateMay 29, 2020
NPPES CertifiedMay 29, 2020
✔ NPI 1043834757 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
15601 PEACH ORCHARD WAY, Bowie, MD 20716
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043834757, enumerated as an "organization" on May 29, 2020.
The provider is located at 15601 PEACH ORCHARD WAY BOWIE, MD 20716 and the phone number is (202) 415-0285.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
