# BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COM, BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104702331
- **Authorized official:** KIRSTYN KIRKLAND GARRON PMHNP-BC, APRN (OWNER/PMHNP-BC)
- **Authorized official phone:** (864) 337-3013

## Contact information

- **Practice address:** 144 FALCON CT, HODGES, SC 29653-9067
- **Practice address phone:** (864) 337-3013
- **Mailing address:** 144 FALCON CT, HODGES, SC 29653-9067
- **Mailing address phone:** (864) 337-3013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 05/26/2026