Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Behavioral Health LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1932773629

Blossom Behavioral Health LLC is a Psychiatric/Mental Health Nurse Practitioner in Spokane Valley, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 N Mullan Rd Ste 1
Spokane Valley, WA 99206-4004
Phone: (509) 694-3135
Fax: (855) 308-6054
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1932773629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prince Eti — Manager · (713) 992-2200
NPI enumeratedMay 17, 2021
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address930 N Mullan Rd Ste 1, Spokane Valley, WA 99206-4004

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