Organization
BUILD & BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY WHITE MA, LPC (OWNER)
(302) 584-7371
Entity
Organization
Contact information
Practice address
421 S BROAD ST, KENNETT SQUARE, PA 19348-3320
(215) 821-9446
Mailing address
421 S BROAD ST, KENNETT SQUARE, PA 19348-3320
(215) 821-9446
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/07/2025
Last updated
11/24/2025
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