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

Blossoming Wellbeing Corp

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1972165231

Blossoming Wellbeing Corp is an Addiction Medicine (Psychiatry & Neurology) Physician in St Petersburg, Florida. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
4
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6622 32nd Way S
St Petersburg, FL 33712-5408
Phone: (833) 779-2633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Addiction Psychiatry Physician Taxonomy 2084P0802X
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X

Record details

NPI number1972165231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official La Tasha Al-Jarboua — Ceo · (833) 779-2633
NPI enumeratedJuly 7, 2019
Last updated in NPPESJuly 7, 2019
Mailing address4905 34th St S Ste 135, St Petersburg, FL 33711-4511

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