Blossom Child Psychology & Behavioral Health Center, Pllc

LBN: Blossom Whole Family Therapy & Child Psychology Center, Pllc
Blossom Child Psychology & Behavioral Health Center, Pllc is an health care organization with primary practice located at 10505 Wayzata Blvd Ste 103 , Minnetonka MN 55305-1507. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Blossom Whole Family Therapy & Child Psychology Center, Pllc can be contacted via phone (952) 545-3300, or through Lewis-Snyder, Gretchen via phone (612) 719-5422.

Contact Information

Primary practice address
10505 Wayzata Blvd Ste 103 Minnetonka MN 55305-1507
Phone: (952) 545-3300
Fax: (952) 545-3300
Website:
Map and Directions
Authorized official contact:
Name: Lewis-Snyder, Gretchen PHD, LP
Phone: (612) 719-5422

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X LP4976 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X LP4976 Minnesota
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X LP4976 Minnesota

Profile Details

NPI number 1194059642
LBN Legal business name Blossom Whole Family Therapy & Child Psychology Center, Pllc
DBA Doing business as Blossom Child Psychology & Behavioral Health Center, Pllc
Authorized official Lewis-Snyder, Gretchen PHD, LP
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2009
Last updated Aug 28th, 2023 - about last year

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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