National Provider Identifier Database

BLOOM AND BLOSSOM LLC
Lactation Consultant


Contact Information

BLOOM AND BLOSSOM, LLC
7152 KYLES CREEK DR
FAIRVIEW, TN37062-7342
Phone: 629-254-9091
Fax: 615-468-7990
Website:
Specialty Taxonomy Code
* Lactation Consultant 163WL0100X

* Indicates primary specialty

NPI Profile & details for BLOOM AND BLOSSOM, LLC

NPI Number 1003656638
Legal business name
LBN
BLOOM AND BLOSSOM, LLC
Authorized official TABITHA PHILLIPS BASSETT - (OWNER, PROVIDER)
Entity Organization
Organization subpart No
Enumeration date 05/30/2024
Last updated 05/30/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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