Organization
FULL BLOOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH GODWIN LCSW (OWNER)
(812) 202-3982
Entity
Organization
Contact information
Practice address
8199 ROBIN HILL RD STE C, NEWBURGH, IN 47630-3086
(812) 215-5584
(812) 215-5884
Mailing address
8199 ROBIN HILL RD STE C, NEWBURGH, IN 47630-3086
(812) 215-5584
(812) 215-5884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
10/19/2023
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