OrganizationActive
Blossoming Minds Psychological Services, LLC
NPI 1649037730 · Psychologist · Fishers, IN
Provider details
- NPI number
- 1649037730
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christine Liedtke, Owner(317) 967-4099
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
14074 Trade Center Dr Ste 208
Fishers, IN 46038-4574
Phone: (317) 967-4099
Approximate (ZIP-level) locationGet directions
Mailing address
14074 Trade Center Dr Ste 208
Fishers, IN 46038-4574
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.