Organization · NPI-2

Sunflowers Bloom Wellness LLC

Marriage & Family Therapist · Port St Lucie, FL

NPI number1194555664
StatusActive
Last updated in NPPESAug 7, 2024

Details

NPI
1194555664
Entity type
Organization (NPI-2)
Legal business name
Sunflowers Bloom Wellness LLC
Organization subpart
No
Enumeration date
Aug 7, 2024
Certification date
Aug 7, 2024
Last updated
Aug 7, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes

Practice location

3466 Sw Pluto St
Port St Lucie, FL 34953-3483

Phone 772-494-5135

Mailing address

2255 Se Veterans Memorial Pkwy # 7084
Port St Lucie, FL 34952-4872

Phone 772-494-5135

Authorized official

Crystal Ann Kelly
Lmft
7724945135

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