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

Blossom Services Group LLC

Organization Intellectual & Developmental Disabilities Psychologist · NPI 1104790989

Blossom Services Group LLC is an Intellectual & Developmental Disabilities Psychologist in West Fargo, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
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

1042 14th Ave E Ste 210
West Fargo, ND 58078-3363
Phone: (701) 541-9884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual & Developmental Disabilities Psychologist (primary) Taxonomy 103TM1800X

Record details

NPI number1104790989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sahr Thomas — Founder/Owner · (701) 541-8884
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing address2046 Ruttan Ct, West Fargo, ND 58078-4258

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