Provider Demographics
NPI:1043974967
Name:BLOSSOM THROUGH THERAPY, PLLC
Entity Type:Organization
Organization Name:BLOSSOM THROUGH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LMHC
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIAMH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MA, PMH-C
Authorized Official - Phone:425-291-8096
Mailing Address - Street 1:5608 17TH AVE NW # 1290
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:425-291-8096
Mailing Address - Fax:
Practice Address - Street 1:5608 17TH AVE NW # 1290
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-5232
Practice Address - Country:US
Practice Address - Phone:425-291-8096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty