Blossom Counseling and Treatment Center, Inc

Primary specialty

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

Legal business name

BLOSSOM COUNSELING AND TREATMENT CENTER, INC

Practice address

1627 E Solano Dr
Phoenix, AZ 85016-2526

Phone

(702) 528-1099

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mukwel Aiyuk, DNPNPI 1275081481

Title

President & Ceo

Phone

(775) 233-5409

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, and the practitioner matching its NPPES authorized official.

• Mukwel Aiyuk, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1275081481
  Authorized official Same address or phone

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1356051866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD STE 3501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "702-528-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 E SOLANO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162526",
            "telephone_number": "702-528-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM COUNSELING AND TREATMENT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "AIYUK",
        "authorized_official_first_name": "MUKWEL",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "775-233-5409",
        "authorized_official_credential": "DNP"
    },
    "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": []
}

• Paul R Bloomquist, MD
• Joshua Aaron Bloomstone, MD
• Diana Carolina Blose-Garcia
• Blossom ABA Therapy Az LLC
• Blossom Birth Center
• Blossom Healthcare LLC
• Blossoming Hearts Home Care
• Andrew Loren Blount, MD
• Casie Rene'E Blount
• D'Onte Blount

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.