Provider Demographics
NPI:1104795921
Name:BLOSSOMING WILLOWS INTEGRATIVE THERAPY, PLLC
Entity type:Organization
Organization Name:BLOSSOMING WILLOWS INTEGRATIVE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DABNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-787-3928
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23005-0066
Mailing Address - Country:US
Mailing Address - Phone:804-368-0350
Mailing Address - Fax:
Practice Address - Street 1:11159 AIR PARK RD STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:VA
Practice Address - Zip Code:23005-3500
Practice Address - Country:US
Practice Address - Phone:804-368-0350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty