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

Blossoming Wellbeing Telepsychiatry

Organization Addiction Medicine (Psychiatry & Neurology) Physician · NPI 1992319560

Blossoming Wellbeing Telepsychiatry is an Addiction Medicine (Psychiatry & Neurology) Physician in St Petersburg, Florida. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

9800 4th St N Ste 200
St Petersburg, FL 33702-2462
Phone: (833) 399-0957
Fax: (727) 335-1174
Show map & directions

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

Specialties & licences

Addiction Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084A0401X

Record details

NPI number1992319560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official La Tasha Al-Jarboua — Owner/Ceo · (304) 237-8733
NPI enumeratedSeptember 1, 2020
Last updated in NPPESNovember 17, 2020
Certification dateNovember 17, 2020
Mailing address9800 4th St N Ste 200, St Petersburg, FL 33702-2462

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