PLUM BLOSSOM THERAPEUTIC SERVICES LLC
NPI 1972115285
Counselor - Professional in Windsor, CT

Active since August 18, 2020
30 MAPLE AVE STE B-2, WINDSOR, CT 06095(860) 553-5428 Get Directions Write a Review

NPPES record last updated: August 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plum Blossom Therapeutic Services Llc NPPES

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

PLUM BLOSSOM THERAPEUTIC SERVICES LLC (NPI 1972115285) is a healthcare organization registered as a professional in Windsor, Connecticut and active in the NPI registry since August 2020. The organization lists Eileen Medina, Owner, as its authorized official.

NPPES Registry Identity

NPI1972115285
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePLUM BLOSSOM THERAPEUTIC SERVICES LLC
Location Address30 MAPLE AVE STE B-2Windsor, CT 06095-2922
Mailing Address52 Collimore RdEast Hartford, CT 06108-1006 · (860) 970-3901
Organization SubpartNo
Authorized OfficialEileen MedinaOwner · (860) 970-3901
Enumeration DateAugust 18, 2020
NPPES CertifiedAugust 18, 2020
NPI 1972115285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
30 MAPLE AVE STE B-2, Windsor, CT 06095

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

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
30 MAPLE AVE STE B-2
WINDSOR, CT 06095

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 Plum Blossom Therapeutic Services LLC's NPI number?

The NPI number for Plum Blossom Therapeutic Services LLC is 1972115285. It was assigned to this organization in the NPPES registry on August 18, 2020.

Where is Plum Blossom Therapeutic Services LLC located?

Plum Blossom Therapeutic Services LLC is located at 30 Maple Ave Ste B-2, Windsor, CT 06095. The listed phone number is (860) 553-5428.

What is Plum Blossom Therapeutic Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Plum Blossom Therapeutic Services LLC was last updated on August 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.