Blissful Intentions LLC
Nurse Practitioner, Psych/Mental Health in Toms River, NJ. Organization (NPI-2).
NPI number1144079765
StatusActive
Last updated in NPPESJun 4, 2026
Details
- NPI
- 1144079765
- Entity type
- Organization (NPI-2)
- Legal business name
- Blissful Intentions LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2024
- Certification date
- Jun 4, 2026
- Last updated
- Jun 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
1691 U.S. 9Toms River, NJ 08753
Phone 717-341-8790
Mailing address
1691 U.S. 9Toms River, NJ 08753
Phone 717-341-8790
Authorized official
Khadija Fofana
Owner
7173418790
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