Blossoming Wellbeing Corp.

LBN: Blossoming Wellbeing Corp.
Blossoming Wellbeing Corp. is an health care organization with primary practice located at 6622 32Nd Way S , St Petersburg FL 33712-5408. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Blossoming Wellbeing Corp. can be contacted via phone (833) 779-2633, or through Al-Jarboua, La Tasha via phone (833) 779-2633.

Contact Information

Primary practice address
6622 32Nd Way S St Petersburg FL 33712-5408
Phone: (833) 779-2633
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Al-Jarboua, La Tasha Physician's Assistant Certified (PA-C)
Phone: (833) 779-2633

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X

Profile Details

NPI number 1972165231
LBN Legal business name Blossoming Wellbeing Corp.
DBA Doing business as
Authorized official Al-Jarboua, La Tasha Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2019
Last updated Jul 7th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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