# SUNFLOWERS BLOOM WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194555664
- **Authorized official:** MRS. CRYSTAL ANN KELLY LMFT (LMFT)
- **Authorized official phone:** (772) 494-5135

## Contact information

- **Practice address:** 3466 SW PLUTO ST, PORT ST LUCIE, FL 34953-3483
- **Practice address phone:** (772) 494-5135
- **Mailing address:** 2255 SE VETERANS MEMORIAL PKWY \# 7084, PORT ST LUCIE, FL 34952-4872
- **Mailing address phone:** (772) 494-5135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 08/07/2024