Blossom Community Services

LBN: Blossom Community Services
Blossom Community Services is an health care organization with primary practice located at 3134 Auten Ave , Charlotte NC 28269-4599. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Blossom Community Services can be contacted via phone (704) 780-3082, or through Dunbar, Leslie Danielle via phone (704) 780-3082.

Contact Information

Primary practice address
3134 Auten Ave Charlotte NC 28269-4599
Phone: (704) 780-3082
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dunbar, Leslie Danielle PEER SUPPORT.
Phone: (704) 780-3082

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1679125850
LBN Legal business name Blossom Community Services
DBA Doing business as
Authorized official Dunbar, Leslie Danielle PEER SUPPORT.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2019
Last updated Jul 9th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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