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BLOSSOM FORWARD LLC
NPI 1861081523
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jacksonville, FL

Active since January 15, 2021
9521 SHELLIE RD STE 13, JACKSONVILLE, FL 32257(904) 257-6835 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2021, Jun 23, 2021, Jan 15, 2021 (3 updates tracked since 2021).

About Blossom Forward Llc NPPES

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

BLOSSOM FORWARD LLC (NPI 1861081523) is a healthcare organization registered as a mental health (including community mental health center) in Jacksonville, Florida and active in the NPI registry since January 2021. The organization lists Brittany Beattie, Ceo/licensed Clinician, as its authorized official.

NPPES Registry Identity

NPI1861081523
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBLOSSOM FORWARD LLC
Location Address9521 SHELLIE RD STE 13Jacksonville, FL 32257-6174
Mailing Address7977 Sweet Rose LnJacksonville, FL 32244-6175 · (904) 327-7554
Phone(904) 257-6835
Organization SubpartNo
Authorized OfficialBrittany BeattieCeo/licensed Clinician · (904) 327-7554
Enumeration DateJanuary 15, 2021
Last NPPES UpdateSeptember 28, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1861081523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
9521 SHELLIE RD STE 13, Jacksonville, FL 32257
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Other Providers at the Same Location NPPES 3

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

PRODIGAL S D CORPORATION
Counselor (Addiction (Substance Use Disorder))
9521 SHELLIE RD STE 13
JACKSONVILLE, FL 32257
Duval County (904) 930-4244
BRITTANY BEATTIE LMHC
Counselor (Mental Health)
9521 SHELLIE RD STE 13
JACKSONVILLE, FL 32257
Duval County (904) 257-6835
DARIC STEVENS
Counselor (Addiction (Substance Use Disorder))
9521 SHELLIE RD STE 13
JACKSONVILLE, FL 32257
Duval County (904) 930-4244

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 Forward LLC's NPI number?

The NPI number for Blossom Forward LLC is 1861081523. It was assigned to this organization in the NPPES registry on January 15, 2021.

Where is Blossom Forward LLC located?

Blossom Forward LLC is located at 9521 Shellie Rd Ste 13, Jacksonville, FL 32257. The listed phone number is (904) 257-6835.

What is Blossom Forward LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Blossom Forward LLC was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.