Blooming Minds. PLLC.

Primary specialty

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

Legal business name

BLOOMING MINDS. PLLC.

Practice address

1001 Woodward Ave FL 5
Detroit, MI 48226-1904

Phone

(313) 903-1737

NPI assigned

Oct 30, 2018

Organization subpart

No

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

Authorized official

Name

Rascha Azakir, LMSW,MSW,MBA

Title

Clinical Social Worker

Phone

(313) 903-1737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540857600000",
    "number": "1295202042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD AVE FL 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261904",
            "telephone_number": "313-903-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WOODWARD AVE FL 5",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261904",
            "telephone_number": "313-903-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING MINDS. PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A",
        "authorized_official_last_name": "AZAKIR",
        "authorized_official_first_name": "RASCHA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "313-903-1737",
        "authorized_official_credential": "LMSW,MSW,MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Christine Blonde, MAT, AT, ATC
• Natalie Blonski
• Bloom Health Services
• Jennifer Michele Bloom, DPM
• Bloom360 Medical PLLC
• Bettyjane Hicks Blossfeld
• Blossom With Nutrition LLC
• Andrea Blount
• Hadiah Blount
• Patricia Savage Blount, P.T.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.