| Bloomed Within | |
|
9092 Rally Spring Loop Wesley Chapel FL 33545-2324 | |
| (352) 549-0932 | |
| Not Available |
| Full Name | Bloomed Within |
|---|---|
| Speciality | Clinic/Center |
| Location | 9092 Rally Spring Loop, Wesley Chapel, Florida |
| Authorized Official Name and Position | Andrea Cennington (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3525490932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomed Within 9092 Rally Spring Loop Wesley Chapel FL 33545-2324 Ph: (352) 549-0932 | Bloomed Within 9092 Rally Spring Loop Wesley Chapel FL 33545-2324 Ph: (352) 549-0932 |
| NPI Number | 1215566526 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 7517389661 |
|---|---|
| Medicare Enrollment ID | O20240529003846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215566526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Andrea Cennington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588056410 PECOS PAC ID: 8729390505 Enrollment ID: I20220809001282 |
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