BLOSSOM SERVICES GROUP LLC; NPI #1104790989

Contact Information

BLOSSOM SERVICES GROUP LLC

1042 14TH AVE E STE 210
WEST FARGO, ND 58078-3363

Phone: 701-541-9884
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for BLOSSOM SERVICES GROUP LLC

NPI Number	`1104790989`
LBN Legal business name	BLOSSOM SERVICES GROUP LLC
Authorized official	SAHR THOMAS - (FOUNDER/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/03/2025
Last updated	10/03/2025 - About 8 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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