Organization
BLOOMED WITHIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA CENNINGTON LCSW (AUTHORIZED OFFICIAL)
(352) 549-0932
Entity
Organization
Contact information
Practice address
9092 RALLY SPRING LOOP, WESLEY CHAPEL, FL 33545-2324
(352) 549-0932
Mailing address
9092 RALLY SPRING LOOP, WESLEY CHAPEL, FL 33545-2324
(352) 549-0932
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/07/2020
Last updated
03/26/2024
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