Blossom Health & Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLOSSOM HEALTH & WELLNESS

Practice address

114A E Providence Rd
Yeadon, PA 19050-2935

Phone

(267) 494-9218

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Bentley Eskridge, LPCNPI 1578928792

Title

Founder, Head Clinician

Phone

(267) 494-9218

Specialties & licenses 1

Addresses

Other names 1

• Blossom Health and Wellness Doing business as

Electronic endpoints 2

Practitioners 1

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

• Bentley Eskridge, MA, NCC

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1578928792
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1124601471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190500896",
            "telephone_number": "267-494-9218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114A E PROVIDENCE RD",
            "city": "YEADON",
            "state": "PA",
            "postal_code": "190502935",
            "telephone_number": "267-494-9218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "ESKRIDGE",
        "authorized_official_first_name": "BENTLEY",
        "authorized_official_title_or_position": "FOUNDER, HEAD CLINICIAN",
        "authorized_official_telephone_number": "267-494-9218",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bre@blossomhealthwelness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114A E Providence Rd",
            "city": "Yeadon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190502935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@blossomhealthwellness.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "114A E Providence Rd",
            "city": "Yeadon",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190502935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Blossom Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Yeadon, PA
• Providers in Yeadon, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.