Provider Demographics
NPI:1972198893
Name:WELLNESS BLOOMS THERAPY SERVICES
Entity Type:Organization
Organization Name:WELLNESS BLOOMS THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOSHIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:510-493-0447
Mailing Address - Street 1:235 CASTLETON PL
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-1445
Mailing Address - Country:US
Mailing Address - Phone:510-493-0447
Mailing Address - Fax:
Practice Address - Street 1:235 CASTLETON PL
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-1445
Practice Address - Country:US
Practice Address - Phone:510-493-0447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty