Provider Demographics
NPI:1447858329
Name:BLOOMING TULIPS-THERAPY AND CONSULTING, PLLC
Entity type:Organization
Organization Name:BLOOMING TULIPS-THERAPY AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:972-598-5306
Mailing Address - Street 1:PO BOX 682104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77268-2104
Mailing Address - Country:US
Mailing Address - Phone:972-598-5306
Mailing Address - Fax:
Practice Address - Street 1:16350 ELLA BLVD APT 914
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-7309
Practice Address - Country:US
Practice Address - Phone:972-598-5306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty