OrganizationActive
Blossom Whole Family Therapy & Child Psychology Center, PLLC
NPI 1194059642 · Adolescent and Children Mental Health Clinic/Center · Minnetonka, MN
Provider details
- NPI number
- 1194059642
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gretchen Lewis-Snyder, Chief Manager/Psychologist(612) 719-5422
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
10505 Wayzata Blvd Ste 103
Minnetonka, MN 55305-1507
Phone: (952) 545-3300
Fax: (952) 545-3300
Approximate (ZIP-level) locationGet directions
Mailing address
10505 Wayzata Blvd Ste 103
Minnetonka, MN 55305-1507
Other names (DBA / former)
- Former legal business name
- Blossom Child Psychology & Behavioral Health Center, PLLC
- Former legal business name
- Blossom Child Psychology & Behavioral Health Center, PLLC
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2023-08-28
- Certified
- 2023-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.