Healthcare Provider Details

I. General information

NPI: 1033022546
Provider Name (Legal Business Name): BLISSFULNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 INDIAN WOOD CIR STE 200-5284
MAUMEE OH
43537-4055
US

IV. Provider business mailing address

1715 INDIAN WOOD CIR STE 200-5284
MAUMEE OH
43537-4055
US

V. Phone/Fax

Practice location:
  • Phone: 419-509-7018
  • Fax:
Mailing address:
  • Phone: 419-509-7018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TIMOTHY KAMINSKI
Title or Position: NURSE PRACTITIONER
Credential:
Phone: 419-509-7018