# LITTLE BLOOM PEDIATRIC THERAPY CENTER

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

## Provider details

- **NPI number:** 1598605925
- **Authorized official:** JASIA WALKER (MANAGING MEMBER)
- **Authorized official phone:** (229) 609-9160

## Contact information

- **Practice address:** 10900 E TAYLOR RD APT 220, GULFPORT, MS 39503-4081
- **Practice address phone:** (228) 609-9160
- **Mailing address:** 10900 E TAYLOR RD APT 220, GULFPORT, MS 39503-4081
- **Mailing address phone:** (228) 609-9160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 2251P0200X | Pediatric Physical Therapist | — | NULL | — |
| 2251P0200X | Pediatric Physical Therapist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 03/28/2026
- **Last updated:** 03/28/2026