Organization
SUNFLOWERS BLOOM WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL ANN KELLY LMFT (LMFT)
(772) 494-5135
Entity
Organization
Contact information
Practice address
3466 SW PLUTO ST, PORT ST LUCIE, FL 34953-3483
(772) 494-5135
Mailing address
2255 SE VETERANS MEMORIAL PKWY # 7084, PORT ST LUCIE, FL 34952-4872
(772) 494-5135
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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