Provider Demographics
NPI:1912778994
Name:LINDEN BLOSSOM COUNSELING LLC
Entity type:Organization
Organization Name:LINDEN BLOSSOM COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:717-538-2010
Mailing Address - Street 1:1255 S MARKET ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17022-2903
Mailing Address - Country:US
Mailing Address - Phone:717-538-2010
Mailing Address - Fax:717-305-4785
Practice Address - Street 1:1255 S MARKET ST STE 203
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:PA
Practice Address - Zip Code:17022-2903
Practice Address - Country:US
Practice Address - Phone:717-538-2010
Practice Address - Fax:717-305-4785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty