Provider Demographics
NPI:1912712043
Name:CHERRY BLOSSOM HEALING LLC
Entity type:Organization
Organization Name:CHERRY BLOSSOM HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JHIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS-JONES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:551-206-0664
Mailing Address - Street 1:10 FOREST AVE STE 305-02
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-5242
Mailing Address - Country:US
Mailing Address - Phone:862-261-0345
Mailing Address - Fax:
Practice Address - Street 1:10 FOREST AVE STE 305-02
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5242
Practice Address - Country:US
Practice Address - Phone:862-261-0345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty