Provider Demographics
NPI:1013712728
Name:EVERBLOOMING PSYCHOTHERAPY AND WELLNESS, LLC
Entity type:Organization
Organization Name:EVERBLOOMING PSYCHOTHERAPY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-930-3323
Mailing Address - Street 1:1420 OAKBROOK E
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-1126
Mailing Address - Country:US
Mailing Address - Phone:517-930-3323
Mailing Address - Fax:
Practice Address - Street 1:1420 OAKBROOK E
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-1126
Practice Address - Country:US
Practice Address - Phone:517-930-3323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health