OrganizationActive
Blossom Child Therapy PLLC
NPI 1740976711 · Community/Behavioral Health Agency · Davidson, NC
Blossom Child Therapy PLLC is a Community/Behavioral Health Agency organization in Davidson, NC (NPI 1740976711).
Provider details
- NPI number
- 1740976711
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kelley Cock, Manager(704) 965-2142
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 N Main St
Davidson, NC 28036-9402
Phone: (704) 965-2142
Street-level locationGet directions
Mailing address
430 Delburg St
Davidson, NC 28036-6945
Registry dates
- Enumerated
- 2023-04-13
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Frequently asked questions
- What is Blossom Child Therapy PLLC's NPI number?
- Blossom Child Therapy PLLC's National Provider Identifier (NPI) is 1740976711, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blossom Child Therapy PLLC?
- Blossom Child Therapy PLLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Blossom Child Therapy PLLC located?
- Blossom Child Therapy PLLC's practice location on file with NPPES is 107 N Main St, Davidson, NC 28036-9402.
- What is Blossom Child Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Blossom Child Therapy PLLC is (704) 965-2142.
- Who is the authorized official for Blossom Child Therapy PLLC?
- The authorized official listed on Blossom Child Therapy PLLC's NPPES record is Kelley Cock, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blossom Child Therapy PLLC's NPI active?
- Yes — Blossom Child Therapy PLLC's NPI (1740976711) is active in the NPPES registry as of the last update on 2023-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.