BLOSSOM COMMUNITY SERVICES NPI 1679125850

NPI Information

  • NPI: 1679125850
  • Provider Name: BLOSSOM COMMUNITY SERVICES
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 3134 AUTEN AVE
    CHARLOTTE, NC
    ZIP 28269
  • Phone: (704) 780-3082

Map and Directions

Get Directions

NPI Details

BLOSSOM COMMUNITY SERVICES is an addiction (substance use disorder) counselor in Charlotte, NC. BLOSSOM COMMUNITY SERVICES NPI is 1679125850. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3134 AUTEN AVE
CHARLOTTE, NC
ZIP 28269-599
Phone: (704) 780-3082

The provider's authorized official is Leslie Danielle Dunbar .
The authorized official title is Certified Subtance Abuse Conserlor and has the following contact phone number (704) 780-3082.

The enumeration date for this NPI number is 7/9/2019 and was last updated on 7/9/2019.

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
1101YM0800XCounselorMental HealthNo
2225XM0800XOccupational TherapistMental HealthNo
3101Y00000XCounselorNo
4101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 11/21/2025

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.