Blossom Living LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

BLOSSOM LIVING LLC

Practice address

5441 E 22ND St
Tucson, AZ 85711-5441

Phone

(619) 578-8416

Fax

(520) 844-6840

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Ladywinnie Amoo Allison

Title

Director

Phone

(619) 578-8416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1962183574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2261 S QUAIL HOLLOW DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857107982",
            "telephone_number": "619-578-8416",
            "fax_number": "520-844-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115441",
            "telephone_number": "619-578-8416",
            "fax_number": "520-844-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOM LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "LADYWINNIE",
        "authorized_official_middle_name": "AMOO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-578-8416"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carena Bloom
• John Bloom, MD
• Kristen Bloom, CPHT
• Tina Marie Bloomfield
• Blooming Hearts,LLC
• Blossom Valley Assisted Living LLC
• Christina Kathleen Blot, FNP
• Jennifer Blount, M.D.
• Mark Blubaugh
• Aleksandar Cody Blubaum, MD

• Counseling Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.