Organization · Type 2 NPI
Blossom Whole Family Therapy & Child Psychology Center, PLLC
Adolescent and Children Mental Health Clinic/Center · Minnetonka, MN
Practice location
10505 Wayzata Blvd Ste 103
Minnetonka, MN 55305-1507
Fax (952) 545-3300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LP4976 (MN) |
| Adult Mental Health Clinic/Center | 261QM0850X | LP4976 (MN) |
| Adolescent and Children Mental Health Clinic/Center Primary | 261QM0855X | LP4976 (MN) |
Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
About NPI 1194059642
Blossom Whole Family Therapy & Child Psychology Center, PLLC's National Provider Identifier is 1194059642, issued on Sep 30, 2009. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Minnetonka, MN. The record was last updated on Aug 28, 2023.