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General NPI Number Information
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NPI Number | 1649115742
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Entity Type | Organization
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Legal Business Name | BLOOMING FUTURE BEHAVIORAL HEALTH AND FAMILY SERVICES
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 13203 N ENON CHURCH RD STE B-149
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City | CHESTER
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State | VA
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Zip | 23836-3122
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Country | US
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Telephone | 703-829-6976
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Fax |
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Provider Business Mailing Address
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Address Line | 13203 N ENON CHURCH RD STE B-149
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City | CHESTER
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State | VA
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Zip | 23836-3122
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Country | US
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Telephone | 703-829-6976
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LAUREN HAMILTON BUELL
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Credential |
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Telephone | 703-829-6976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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