Blossom Wellness & Psychiatry Professional Limited Liability Company
NPI #1104702331 in Hodges, South Carolina
Provider Information
- NPI Number
- 1104702331
- Entity Type
- Organization
- Organization Name
- Blossom Wellness & Psychiatry Professional Limited Liability Company
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Aug 13, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 144 FALCON CT
- City
- Hodges
- State
- South Carolina
- ZIP Code
- 29653-9067
- Phone
- (864) 337-3013
Authorized Official
- Name
- KIRSTYN K GARRON, PMHNP-BC, APRN
- Title
- PMHNP-BC, APRN
- Phone
- (864) 337-3013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
Additional Practice Locations
7901 4th St N Ste 300
St Petersburg, FL, 33702-4399
(864) 337-3013
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