| The Resilient Bloom Llc | |
|
3230 Pikeview Rd Fort Mill SC 29715-6704 | |
| (704) 641-3824 | |
| Not Available |
| Full Name | The Resilient Bloom Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3230 Pikeview Rd, Fort Mill, South Carolina |
| Authorized Official Name and Position | Kelly Dusek (MANAGER) |
| Authorized Official Contact | 7046413824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Resilient Bloom Llc 15812 Walnut Hill Dr Charlotte NC 28278-5010 Ph: (704) 641-3824 | The Resilient Bloom Llc 3230 Pikeview Rd Fort Mill SC 29715-6704 Ph: (704) 641-3824 |
| NPI Number | 1669227500 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669227500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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