The Resilient Bloom LLC
NPI #1669227500 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1669227500
- Entity Type
- Organization
- Organization Name
- The Resilient Bloom LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Mar 4, 2025
Practice Location
- Address
- 1701 1ST BAXTER XING STE 201
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29708-8980
- Phone
- (803) 542-9680
Authorized Official
- Name
- KELLY DUSEK, LPC, LCMHC
- Title
- MANAGER
- Phone
- (704) 641-3824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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