THE RESILIENT BLOOM LLC
NPI 1669227500
Counselor - Mental Health in Fort Mill, SC

Q: What is The Resilient Bloom LLC's NPI number?

The NPI number for The Resilient Bloom LLC is 1669227500. It was assigned to this organization in the NPPES registry on April 23, 2024.

Q: What is The Resilient Bloom LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since April 23, 2024

1701 1ST BAXTER XING STE 201, FORT MILL, SC 29708(803) 542-9680 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Apr 23, 2024 (2 updates tracked since 2024).

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About The Resilient Bloom Llc NPPES

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

THE RESILIENT BLOOM LLC (NPI 1669227500) is a healthcare organization registered as a mental health in Fort Mill, South Carolina and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Charlotte and lists Kelly Dusek, Manager, as its authorized official.

NPPES Registry Identity

NPI1669227500

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameTHE RESILIENT BLOOM LLC

Location Address1701 1ST BAXTER XING STE 201Fort Mill, SC 29708-8980

Mailing Address15812 Walnut Hill DrCharlotte, NC 28278-5010 · (704) 641-3824

Phone(803) 542-9680

Organization SubpartNo

Authorized OfficialKelly DusekManager · (704) 641-3824

Enumeration DateApril 23, 2024

Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1669227500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1701 1ST BAXTER XING STE 201, Fort Mill, SC 29708

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Secondary Practice Location 1

Location 115812 Walnut Hill DrCharlotte, NC 28278-5010 · Phone (704) 641-3824

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 The Resilient Bloom LLC's NPI number?

The NPI number for The Resilient Bloom LLC is 1669227500. It was assigned to this organization in the NPPES registry on April 23, 2024.

Where is The Resilient Bloom LLC located?

The Resilient Bloom LLC is located at 1701 1st Baxter Xing Ste 201, Fort Mill, SC 29708. The listed phone number is (803) 542-9680.

What is The Resilient Bloom LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for The Resilient Bloom LLC was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.