Provider Demographics
NPI:1376209213
Name:BLOSSOMING BEGINNINGS COUNSELING, PLLC
Entity Type:Organization
Organization Name:BLOSSOMING BEGINNINGS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:QUAN
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:720-515-0298
Mailing Address - Street 1:3401 WALLINGFORD AVE N APT 311
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9070
Mailing Address - Country:US
Mailing Address - Phone:720-515-0298
Mailing Address - Fax:
Practice Address - Street 1:3401 WALLINGFORD AVE N APT 311
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9070
Practice Address - Country:US
Practice Address - Phone:720-515-0298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1588895114OtherNPI NUMBER