Organization · Type 2 NPI

The Blossom Counseling Center for Personal Growth and Development LLC

Mental Health Counselor · Grand Rapids, MI

NPI number 1942169040 Active

Practice location

4829 E Beltline Ave NE Ste 101
Grand Rapids, MI 49525-9349

Call (616) 284-1138 Map

Mailing address

5110 28th St SE # 1145
Grand Rapids, MI 49512-2049

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1942169040

The Blossom Counseling Center for Personal Growth and Development LLC's National Provider Identifier is 1942169040, issued on Jan 15, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 15, 2026.