Provider Demographics
NPI:1427852946
Name:BLISSFUL BEGINNINGS RECOVERY LLC
Entity type:Organization
Organization Name:BLISSFUL BEGINNINGS RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C0 OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNTAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-217-9959
Mailing Address - Street 1:2656 S ARLINGTON RD STE B-3
Mailing Address - Street 2:
Mailing Address - City:COVENTRY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44319-2060
Mailing Address - Country:US
Mailing Address - Phone:330-217-9959
Mailing Address - Fax:
Practice Address - Street 1:2656 S ARLINGTON RD STE B-3
Practice Address - Street 2:
Practice Address - City:COVENTRY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:44319-2060
Practice Address - Country:US
Practice Address - Phone:330-217-9959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty