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

Blossom Child Therapy PLLC

Organization Community/Behavioral Health Agency · NPI 1740976711

Blossom Child Therapy PLLC is a Community/Behavioral Health Agency in Davidson, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 N Main St
Davidson, NC 28036-9402
Phone: (704) 965-2142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1740976711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelley Cock — Manager · (704) 965-2142
NPI enumeratedApril 13, 2023
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023
Mailing address430 Delburg St, Davidson, NC 28036-6945

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