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

Blossom Towne Enterprises

Organization Psychologist · NPI 1336301894

Blossom Towne Enterprises is a Psychologist in Lake Elmo, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008

Practice location Address checks out

8615 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Phone: (651) 264-0444
Fax: (651) 264-0447
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence LP-1196 (MN)

Record details

NPI number1336301894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Blossom — President · (651) 264-0444
Other names Illuminate
NPI enumeratedJune 26, 2008
Last updated in NPPESJune 26, 2008
Mailing address8615 Eagle Point Blvd, Lake Elmo, MN 55042-8628

Other providers in Lake Elmo