Blossoms House of Restoration

Primary specialty

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

Legal business name

BLOSSOMS HOUSE OF RESTORATION

Practice address

900 Crain Hwy S
Glen Burnie, MD 21061-3942

Phone

(443) 559-0450

NPI assigned

Dec 3, 2016

Organization subpart

No

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

Authorized official

Name

Terri Fields

Title

Administrator

Phone

(443) 559-0450

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1740723162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 WISDOM CT",
            "address_2": "#9564",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613966",
            "telephone_number": "443-559-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CRAIN HWY S",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613942",
            "telephone_number": "443-559-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMS HOUSE OF RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "443-559-0450"
    },
    "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": []
}

• Devin Blackwell
• Michael Blaj, MD
• Danyele Blake
• Karene Bland, ADT
• Ellen Eileen Bloom
• Gage Jordan Blottenberger, RDN, LDN
• Blue Whispering Willows Counseling LLC
• Larry Webster Blum, M.D.
• Bna Behavioral Health LLC
• Jeffrey Lee Bober, DPM

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.