BLOSSOMING WELLBEING TELEPSYCHIATRY NPI 1992319560

NPI Information

BLOSSOMING WELLBEING TELEPSYCHIATRY is an addiction medicine psychiatry neurology in St Petersburg, FL. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine BLOSSOMING WELLBEING TELEPSYCHIATRY NPI is 1992319560. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9800 4TH ST N STE 200
ST PETERSBURG, FL
ZIP 33702-462
Phone: (833) 399-0957
Fax: (727) 335-1174

The provider's authorized official is La Tasha Al-jarboua .
The authorized official title is Owner/ceo and has the following contact phone number (304) 237-8733.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 11/17/2020.

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:

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