Organization
GENTLE BLOOM THERAPY
Active
Other names
Gentle Bloom Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SHA'KIRA HICKS (RBT)
(864) 635-5476
Entity
Organization
Contact information
Practice address
50 CHANNING CT, COVINGTON, GA 30016-5333
(864) 635-5476
Mailing address
50 CHANNING CT, COVINGTON, GA 30016-5333
(864) 635-5476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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