| NPI | 1326912122 |
|---|---|
| Other Name | BLAZING STAR THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIAN EADS Member 765-413-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |