1. Home
  2. Directory
  3. Washington
  4. Spokane Valley
  5. Nurse Practitioner
  6. NPI Profile

BLOSSOM BEHAVIORAL HEALTH LLC
NPI 1932773629
Nurse Practitioner - Psychiatric/Mental Health in Spokane Valley, WA

Active since May 17, 2021
930 N MULLAN RD STE 1, SPOKANE VALLEY, WA 99206(509) 694-3135(855) 308-6054 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, Mar 27, 2025, Feb 23, 2023 and 1 more (4 updates tracked since 2021).

About Blossom Behavioral Health Llc NPPES

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

BLOSSOM BEHAVIORAL HEALTH LLC (NPI 1932773629) is a healthcare organization registered as a psychiatric/mental health in Spokane Valley, Washington and active in the NPI registry since May 2021. The organization lists Prince Eti, Manager, as its authorized official.

NPPES Registry Identity

NPI1932773629
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOSSOM BEHAVIORAL HEALTH LLC
Location Address930 N MULLAN RD STE 1Spokane Valley, WA 99206-4004
Mailing Address930 N Mullan Rd Ste 1Spokane Valley, WA 99206-4004 · (509) 694-3135
Phone(509) 694-3135
Fax(855) 308-6054
Organization SubpartNo
Authorized OfficialPrince EtiManager · (713) 992-2200
Enumeration DateMay 17, 2021
Last NPPES UpdateFebruary 24, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1932773629 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
930 N MULLAN RD STE 1, Spokane Valley, WA 99206
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES

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

UDOKA DEBORAH ETI NP
Nurse Practitioner (Psychiatric/Mental Health)
930 N MULLAN RD STE 1
SPOKANE VALLEY, WA 99206
Spokane County (509) 596-1174

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 Behavioral Health LLC's NPI number?

The NPI number for Blossom Behavioral Health LLC is 1932773629. It was assigned to this organization in the NPPES registry on May 17, 2021.

Where is Blossom Behavioral Health LLC located?

Blossom Behavioral Health LLC is located at 930 N Mullan Rd Ste 1, Spokane Valley, WA 99206. The listed phone number is (509) 694-3135.

What is Blossom Behavioral Health LLC's specialty?

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

What insurance does Blossom Behavioral Health LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Blossom Behavioral Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blossom Behavioral Health LLC was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.