Organization · Type 2 NPI

Blossom Wellness & Psychiatry Professional Limited Liability Company

Psychiatric/Mental Health Nurse Practitioner · Hodges, SC

NPI number 1104702331 Active

Practice location

144 Falcon Ct
Hodges, SC 29653-9067

Call (864) 337-3013 Map

Other practice locations

7901 4th St N Ste 300, St. Petersburg, FL 33702-4399 · (864) 337-3013
101 Cambridge Ave E, Greenwood, SC 29646-2221 · (864) 337-3013

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

Other psychiatric/mental health nurse practitioner providers in Hodges

Northstar Mental Health, LLCPsychiatric/Mental Health Nurse Practitioner Hodges, SC NPI 1962361568

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NPI record

NPI: 1104702331
Entity type: Organization (Type 2)
Issued: Aug 13, 2025
Last updated: May 26, 2026
Status: Active

Other names

Blossom Wellness & Psychiatry Professional Limited Liability Company · doing business as

Authorized official

Kirstyn Kirkland Garron, PMHNP-BC, APRN
Owner/pmhnp-Bc
(864) 337-3013

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104702331

Blossom Wellness & Psychiatry Professional Limited Liability Company's National Provider Identifier is 1104702331, issued on Aug 13, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hodges, SC. The record was last updated on May 26, 2026.