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Blossom Community Foundation Inc
Adolescent and Children Mental Health Clinic/Center in Gastonia, North Carolina
NPI 1700456878

Blossom Community Foundation Inc is an Adolescent and Children Mental Health Clinic/Center based in Gastonia, NC and is specialized in Adolescent and Children Mental Health. Blossom Community Foundation Inc practices in Gastonia, NC. The NPI Number for Blossom Community Foundation Inc is 1700456878 and holds a License No. (North Carolina).

The current practice location address for Blossom Community Foundation Inc is 2311 Aberdeen Blvd Ste A, Gastonia, NC and can be reached out via phone at 170-478-0308. You can also correspond with Blossom Community Foundation Inc through the mailing address at 2311 ABERDEEN BLVD STE A, GASTONIA, NC - 28054-0603 (mailing address contact number: 170-478-0308).

Location: 2311 Aberdeen Blvd Ste A, Gastonia, NC, 28054-0603
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700456878
Provider Name
Blossom Community Foundation Inc
Credential
Provider Entity Type
Organization
Address
2311 Aberdeen Blvd Ste A, Gastonia, NC, 28054-0603
Phone Number
170-478-0308
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2311 Aberdeen Blvd Ste A
City
Gastonia
State
North Carolina
Zip
28054-0603
Phone Number
170-478-0308
Fax Number
person
Provider Business Mailing Address Details
Address
2311 Aberdeen Blvd Ste A
City
Gastonia
State
North Carolina
Zip
28054-0603
Phone Number
170-478-0308
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 3
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 4
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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