Healthcare Provider Details

I. General information

NPI: 1538075502
Provider Name (Legal Business Name): BLOOMINGSEED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 ARBORETUM PKWY STE 150
NORTH CHESTERFIELD VA
23236-5403
US

IV. Provider business mailing address

9201 ARBORETUM PKWY STE 150
NORTH CHESTERFIELD VA
23236-5403
US

V. Phone/Fax

Practice location:
  • Phone: 804-322-7383
  • Fax: 804-322-7388
Mailing address:
  • Phone:
  • Fax: 804-322-7388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. MARQUITA RACHELLE GARRETT
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 804-322-7522