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BLOSSOM CHILD THERAPY PLLC
NPI 1740976711
Community/Behavioral Health in Davidson, NC

Active since April 13, 2023
107 N MAIN ST, DAVIDSON, NC 28036(704) 965-2142 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blossom Child Therapy Pllc NPPES

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

BLOSSOM CHILD THERAPY PLLC (NPI 1740976711) is a healthcare organization registered as a community/behavioral health in Davidson, North Carolina and active in the NPI registry since April 2023. The organization lists Kelley Cock, Manager, as its authorized official.

NPPES Registry Identity

NPI1740976711
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBLOSSOM CHILD THERAPY PLLC
Location Address107 N MAIN STDavidson, NC 28036-9402
Mailing Address430 Delburg StDavidson, NC 28036-6945
Phone(704) 965-2142
Organization SubpartNo
Authorized OfficialKelley CockManager · (704) 965-2142
Enumeration DateApril 13, 2023
NPPES CertifiedApril 13, 2023
✔ NPI 1740976711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
107 N MAIN ST, Davidson, NC 28036
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Other Providers at the Same Location NPPES 5

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

BARIPSYCH
Marriage & Family Therapist
107 N MAIN ST, SUITE 100
DAVIDSON, NC 28036
Mecklenburg County (704) 896-1818
REA M. WRIGHT MA, LPC, NCC
Counselor (Professional)
107 N MAIN ST
DAVIDSON, NC 28036
Mecklenburg County (704) 896-7705
DR. M. DEWITT CROSBY PH.D.
Psychologist
107 N MAIN ST, POB 1090
DAVIDSON, NC 28036
Mecklenburg County (704) 892-4858
CAITLIN ALLISON LCSWA, CCH, RYT500
Social Worker (Clinical)
107 N MAIN ST
DAVIDSON, NC 28036
Mecklenburg County (484) 651-2699
DIANNA RIDGELY CHAPMAN LCMHCA
Counselor (Mental Health)
107 N MAIN ST
DAVIDSON, NC 28036
Mecklenburg County (704) 218-9313

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 Child Therapy PLLC's NPI number?

The NPI number for Blossom Child Therapy PLLC is 1740976711. It was assigned to this organization in the NPPES registry on April 13, 2023.

Where is Blossom Child Therapy PLLC located?

Blossom Child Therapy PLLC is located at 107 N Main St, Davidson, NC 28036. The listed phone number is (704) 965-2142.

What is Blossom Child Therapy PLLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Blossom Child Therapy PLLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.