Blooming Minds, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BLOOMING MINDS, PLLC

Practice address

4700 Riverwood Cir Apt 368
Raleigh, NC 27612-5761

Phone

(313) 673-1444

NPI assigned

Sep 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela V BlanksNPI 1235419813

Title

Owner

Phone

(313) 673-1444

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela V Blanks, LCSW

  • Clinical Social Worker
  • Raleigh, NC
  • NPI 1235419813
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1114649019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 RIVERWOOD CIR APT 368",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125761",
            "telephone_number": "313-673-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 RIVERWOOD CIR APT 368",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125761",
            "telephone_number": "313-673-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MINDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "BLANKS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-673-1444"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Holistic Bodywork
• Bloom Joy LLC
• Allan Albert Bloom, PH.D
• Haley Elizabeth Bloom
• Tina Marie Bloomer, MS, RD/LDN
• Bloomsbury Therapy
• Bloomwell Behavioral Health Inc.
• Blossom & Bloom Wellness Services, PLLC
• Shon Blotzer
• Alicia Blount, NP

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.