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BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY
NPI 1104702331
Nurse Practitioner - Psychiatric/Mental Health in Hodges, SC

Active since August 13, 2025
144 FALCON CT, HODGES, SC 29653(864) 337-3013 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2026, Oct 8, 2025, Aug 13, 2025 (3 updates tracked since 2025).

About Blossom Wellness & Psychiatry Professional Limited Liability Company NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY (NPI 1104702331) is a healthcare organization registered as a psychiatric/mental health in Hodges, South Carolina and active in the NPI registry since August 2025. The organization maintains 2 additional practice locations and lists Kirstyn Kirkland Garron, Owner/pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1104702331
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY
Location Address144 FALCON CTHodges, SC 29653-9067
Mailing Address144 Falcon CtHodges, SC 29653-9067 · (864) 337-3013
Phone(864) 337-3013
Organization SubpartNo
Authorized OfficialKirstyn Kirkland GarronOwner/pmhnp-bc · (864) 337-3013
Enumeration DateAugust 13, 2025
Last NPPES UpdateMay 26, 20263 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1104702331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
144 FALCON CT, Hodges, SC 29653
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Other Names 1

Doing Business AsBlossom Wellness & Psychiatry Professional Limited Liability Company

Secondary Practice Locations 2

Location 1101 Cambridge Ave EGreenwood, SC 29646-2221 · Phone (864) 337-3013 · Fax (864) 448-1615
Location 27901 4th St N Ste 300St Petersburg, FL 33702-4399 · Phone (864) 337-3013

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blossom Wellness & Psychiatry Professional Limited Liability Company's NPI number?

The NPI number for Blossom Wellness & Psychiatry Professional Limited Liability Company is 1104702331. It was assigned to this organization in the NPPES registry on August 13, 2025.

Where is Blossom Wellness & Psychiatry Professional Limited Liability Company located?

Blossom Wellness & Psychiatry Professional Limited Liability Company is located at 144 Falcon Ct, Hodges, SC 29653. The listed phone number is (864) 337-3013.

What is Blossom Wellness & Psychiatry Professional Limited Liability Company's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Blossom Wellness & Psychiatry Professional Limited Liability Company was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.