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

Blossom Integrated Health and Behavioral Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1043057722

Blossom Integrated Health and Behavioral Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Hagerstown, Maryland. Registered with an NPI since 2024.

In the registry since
2024
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

338 Mill St
Hagerstown, MD 21740-6138
Phone: (240) 347-4494
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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 number1043057722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ihuoma Udeagha — Ceo · (240) 347-4494
NPI enumeratedJuly 10, 2024
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address338 Mill St, Hagerstown, MD 21740-6138

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