THE RESILIENT BLOOM LLC NPI 1669227500

NPI Information

  • NPI: 1669227500
  • Provider Name: THE RESILIENT BLOOM LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 1701 1ST BAXTER XING STE 201
    FORT MILL, SC
    ZIP 29708
  • Phone: (803) 542-9680

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NPI Details

THE RESILIENT BLOOM LLC is a mental health counselor in Fort Mill, SC. THE RESILIENT BLOOM LLC NPI is 1669227500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1701 1ST BAXTER XING STE 201
FORT MILL, SC
ZIP 29708-980
Phone: (803) 542-9680

The provider's authorized official is Kelly Dusek .
The authorized official title is Manager and has the following contact phone number (704) 641-3824.

The enumeration date for this NPI number is 4/23/2024 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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