Organization
BUD & BLOSSOM THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE GREEN LPC, , LMHC, CAMS II (CEO)
(407) 271-2039
Entity
Organization
Contact information
Practice address
5887 GLENRIDGE DR, SANDY SPRINGS, GA 30328-5574
(404) 519-0080
Mailing address
3919 GARDENWOOD CIR, GRANT VALKARIA, FL 32949-8244
(407) 271-2039
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
04/28/2025
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