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BLOSSOMING MINDS PSYCHOLOGICAL SERVICES LLC NPI 1649037730


NPI Information

NPI: 1649037730
Provider Name: BLOSSOMING MINDS PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
14074 TRADE CENTER DR STE 208
FISHERS, IN
ZIP 46038
Phone: (317) 967-4099
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BLOSSOMING MINDS PSYCHOLOGICAL SERVICES, LLC is a psychologist in Fishers, IN. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. BLOSSOMING MINDS PSYCHOLOGICAL SERVICES, LLC NPI is 1649037730. The provider is registered as an organization entity type.

The provider's business location address is:

14074 TRADE CENTER DR STE 208
FISHERS, IN
ZIP 46038-574
Phone: (317) 967-4099

The provider's authorized official is Christine Marie Liedtke .
The authorized official title is Owner and has the following contact phone number (317) 967-4099.

The enumeration date for this NPI number is 3/5/2024 and was last updated on 3/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistYes
2251S00000XCommunity/Behavioral HealthNo
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM0850XClinic/CenterAdult Mental HealthNo
5261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.