Healthcare Provider Details

I. General information

NPI: 1255296463
Provider Name (Legal Business Name): BLOOMING MINDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

283 FLINT ST
FALL RIVER MA
02723-1707
US

IV. Provider business mailing address

24 LEBANON ST APT 1
FALL RIVER MA
02723-1676
US

V. Phone/Fax

Practice location:
  • Phone: 774-991-1355
  • Fax:
Mailing address:
  • Phone: 774-991-1355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. SASHA MARIANNA DIAS ARRUDA
Title or Position: SOCIAL WORKER
Credential: LICSW
Phone: 774-991-1355