BLOSSOM SERVICES GROUP LLC NPI 1104790989

NPI Information

  • NPI: 1104790989
  • Provider Name: BLOSSOM SERVICES GROUP LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 1042 14TH AVE E STE 210
    WEST FARGO, ND
    ZIP 58078
  • Phone: (701) 541-9884

Map and Directions

Get Directions

NPI Details

BLOSSOM SERVICES GROUP LLC is an intellectual and developmental disabilities in West Fargo, ND. BLOSSOM SERVICES GROUP LLC NPI is 1104790989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1042 14TH AVE E STE 210
WEST FARGO, ND
ZIP 58078-363
Phone: (701) 541-9884

The provider's authorized official is Sahr Thomas .
The authorized official title is Founder/owner and has the following contact phone number (701) 541-8884.

The enumeration date for this NPI number is 10/3/2025 and was last updated on 10/3/2025.

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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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: 3/30/2025

NPI Synchronization or Removal

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.