# THERAPY BLOOMS WELLNESS, LLC

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

## Provider details

- **NPI number:** 1417878653
- **Authorized official:** DR. CYNTHIA WALLACE MCFADDEN DHSC (OWNER)
- **Authorized official phone:** (803) 309-2381

## Contact information

- **Practice address:** 263 KELLEY ST STE 200, LAKE CITY, SC 29560-2472
- **Practice address phone:** (803) 309-2381
- **Mailing address:** 141 ORCHARD PARK RD, COLUMBIA, SC 29223-7799
- **Mailing address phone:** (803) 309-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2026
- **Last updated:** 07/23/2026