Blooming Path, Llc

NPI 1053695593 - Counselor - 101YP2500X

NPI Details
NPI 1053695593
Enumeration Date 10/03/2011
Last Updated 10/03/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DAISY S DAISY
Position OWNER
Phone (512) 481-2452
Fax (512) 535-5880
Practice Location
306 E MAIN ST
STE# 102
ROUND ROCK TX, 78664-5215, US
Phone (512) 481-2452
Fax (512) 535-5880
Business Location
306 E MAIN ST
STE# 102
ROUND ROCK TX, 78664-5215, US
Phone (512) 481-2452
Fax (512) 535-5880
Toxanomy
Taxonomy Code 101YP2500X
License State Texas
License Number 65961
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According to our database, Blooming Path, Llc NPI is 1053695593, taxonomy code is 101YP2500X and license number is 65961, license state is located at Texas. Blooming Path, Llc physically located at 306 E Main St, Round Rock TX, 78664-5215. NPI Number 1033115704 has the healthcare provider type.

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1053695593 NPI number is provided on an as is basis without warranty of any kind. 1053695593 is maintained by the National Plan & Provider Enumeration System. The contents of Blooming Path, Llc are for informational purposes only.