Organization
BEAUTIFUL BLOOM COUNSELING & CONSULTING LLC
Active
Other names
Beautiful Bloom Counseling & Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY DODSON LPC, CPCS (THERAPIST/OWNER)
(770) 262-1311
Entity
Organization
Contact information
Practice address
3485 MCEVER RD STE 205, GAINESVILLE, GA 30504-5542
(770) 450-9900
(770) 450-9300
Mailing address
3485 MCEVER RD STE 205, GAINESVILLE, GA 30504-5542
(770) 450-9900
(770) 450-9300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003209993A
—
GA
Enumeration date
02/09/2022
Last updated
02/14/2022
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