Provider Demographics
NPI:1366850133
Name:HEALING BLOSSOM, LLC
Entity Type:Organization
Organization Name:HEALING BLOSSOM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:786-505-9077
Mailing Address - Street 1:8215 SW 72ND AVE APT 1710
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7875
Mailing Address - Country:US
Mailing Address - Phone:786-505-9077
Mailing Address - Fax:305-907-5303
Practice Address - Street 1:8215 SW 72ND AVE APT 1710
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:786-505-9077
Practice Address - Fax:305-907-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3214171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty