Organization
BOUNDLESS GROWTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINE THOMPSON LCSW (MANAGER)
(210) 289-0795
Entity
Organization
Contact information
Practice address
1600 W EAU GALLIE BLVD STE 201I, MELBOURNE, FL 32935-4149
(321) 586-1525
Mailing address
4082 ORCHARD DR, MELBOURNE, FL 32940-1227
(210) 289-0795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
03/08/2024
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