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Organization

IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE LYNN DEAN MA, ATR-BC, LPC (FOUNDER, EXECUTIVE DIRECTOR)
(215) 421-2942
Entity
Organization

Contact information

Practice address
2129 18TH ST. SOUTH, C/O, BIRMINGHAM, AL 35209
(215) 421-2942
Mailing address
2810 N CHURCH ST # 947303, WILMINGTON, DE 19802-4447
(215) 421-2942

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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