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Organization

BLOSSOMING METAMORPHOSIS COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE S BAKER (LICENSED PROFESSIONAL COUNSELOR)
(912) 324-9037
Entity
Organization

Contact information

Practice address
123 S ZETTEROWER AVE STE B, STATESBORO, GA 30458-4898
(912) 225-3760
Mailing address
PO BOX 13, STATESBORO, GA 30459-0013

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/17/2025
Last updated
08/11/2025
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