Blossom Growth Family Therapy, Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

BLOSSOM GROWTH FAMILY THERAPY, INC

Practice address

1300 W Shaw Ave Ste 3a
Fresno, CA 93711-3712

Phone

(559) 840-8800

NPI assigned

Feb 7, 2025

Last updated

Feb 7, 2025By 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

Elizabeth C MouavangsouNPI 1275878530

Title

Ceo

Phone

(559) 840-8800

Specialties & licenses 1

Addresses

Locations

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.

• Elizabeth Choua Mouavangsou, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
  • NPI 1275878530
  NPD Authorized official

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1922813989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 W SHAW AVE # 257",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113404",
            "telephone_number": "559-840-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W SHAW AVE STE 3A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113712",
            "telephone_number": "559-840-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM GROWTH FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MOUAVANGSOU",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-840-8800"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila M Bloomer, M.A., CCC-SLP
• Blossom Care Inc. (Blossom Home Health)
• Blossom Creeks Assisted Living (Rajvinder Samra)
• Blossom Creeks Assisted Living 2 Inc. (Blossom Creeks Assisted Living 2)
• Blossom Creeks Assisted Living 3 Inc.
• Blossom Haven, Inc
• Herbert John Blossom, MD
• Blossoming Home Health Care
• Linda P Bloys, RDO
• Blue Axiro LLC

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.