Organization
BLOOM WITH HOPE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA PRYOR APRN-FPA (OWNER/PMHNP-C)
(618) 702-9078
Entity
Organization
Contact information
Practice address
951 FAIRFAX ST STE F, CARLYLE, IL 62231-1845
(618) 702-9078
Mailing address
951 FAIRFAX ST STE F, CARLYLE, IL 62231-1845
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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