Organization
EVERBLOOM THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KING (CEO)
(336) 745-1499
Entity
Organization
Contact information
Practice address
301 N MAIN ST STE 1030, WINSTON SALEM, NC 27101-3819
(336) 745-1499
Mailing address
301 N MAIN ST STE 1030, WINSTON SALEM, NC 27101-3819
(336) 745-1499
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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