Blossom Forward Llc

LBN: Blossom Forward Llc
Blossom Forward Llc is an health care organization with primary practice located at 9521 Shellie Rd Ste 13 , Jacksonville FL 32257-6174. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Blossom Forward Llc can be contacted via phone (904) 257-6835, or through Beattie, Brittany via phone (904) 327-7554.

Contact Information

Primary practice address
9521 Shellie Rd Ste 13 Jacksonville FL 32257-6174
Phone: (904) 257-6835
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Beattie, Brittany LMHC
Phone: (904) 327-7554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1861081523
LBN Legal business name Blossom Forward Llc
DBA Doing business as
Authorized official Beattie, Brittany LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2021
Last updated Sep 28th, 2021 - about 4 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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