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FULL BLOOM FUNCTIONAL HEALTH LLC
NPI 1558205203
Clinic/Center - Multi-Specialty in Palmer, MA

Active since April 15, 2026
1207 S MAIN ST STE 1, PALMER, MA 01069(413) 200-2808 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Full Bloom Functional Health Llc NPPES

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

FULL BLOOM FUNCTIONAL HEALTH LLC (NPI 1558205203) is a healthcare organization registered as a multi-specialty in Palmer, Massachusetts and active in the NPI registry since April 2026. The organization lists Shaina Labonte, Owner, as its authorized official.

NPPES Registry Identity

NPI1558205203
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFULL BLOOM FUNCTIONAL HEALTH LLC
Location Address1207 S MAIN ST STE 1Palmer, MA 01069-1897
Mailing Address1207 S Main St Ste 1Palmer, MA 01069-1897
Phone(413) 200-2808
Organization SubpartNo
Authorized OfficialShaina LabonteOwner · (413) 200-2808
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1558205203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1207 S MAIN ST STE 1, Palmer, MA 01069
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOOM MENTAL HEALTH AND WELLNESS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1207 S MAIN ST STE 1
PALMER, MA 01069
Hampden County (413) 200-2808

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 Full Bloom Functional Health LLC's NPI number?

The NPI number for Full Bloom Functional Health LLC is 1558205203. It was assigned to this organization in the NPPES registry on April 15, 2026.

Where is Full Bloom Functional Health LLC located?

Full Bloom Functional Health LLC is located at 1207 S Main St Ste 1, Palmer, MA 01069. The listed phone number is (413) 200-2808.

What is Full Bloom Functional Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Full Bloom Functional Health LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.