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

Blossom Family Therapy PLLC

Organization Family Medicine Physician · NPI 1679371058

Blossom Family Therapy PLLC is a Family Medicine Physician in Huntersville, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
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

13420 Reese Blvd W
Huntersville, NC 28078-7925
Phone: (980) 297-8237
Fax: (704) 887-9496
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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
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1679371058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shacoya Ghraham — Owner · (980) 297-8237
NPI enumeratedMarch 3, 2025
Last updated in NPPESMay 27, 2025
Certification dateMay 27, 2025
Mailing address13420 Reese Blvd W, Huntersville, NC 28078-7925

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