Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blossom Wellness & Psychiatry Professional Limited Liability Company

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104702331

Blossom Wellness & Psychiatry Professional Limited Liability Company is a Psychiatric/Mental Health Nurse Practitioner in Hodges, South Carolina. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

144 Falcon Ct
Hodges, SC 29653-9067
Phone: (864) 337-3013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7901 4th St N Ste 300, St Petersburg, FL 33702-4399 — (864) 337-3013
  • 101 Cambridge Ave E, Greenwood, SC 29646-2221 — (864) 337-3013

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1104702331
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirstyn Garron — Owner/Pmhnp-Bc · (864) 337-3013
Other names Blossom Wellness & Psychiatry Professional Limited Liability Company
NPI enumeratedAugust 13, 2025
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing address144 Falcon Ct, Hodges, SC 29653-9067

Other providers in Hodges