Blossom Wellness & Psychiatry Professional Limited Liability Company

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY

Doing business as

Blossom Wellness & Psychiatry Professional Limited Liability Company

Practice address

144 Falcon CT
Hodges, SC 29653-9067

Phone

(864) 337-3013

NPI assigned

Aug 13, 2025

Last updated

May 26, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirstyn Kirkland Garron, PMHNP-BC, APRNNPI 1619868536

Title

Owner/Pmhnp-BC

Phone

(864) 337-3013

Specialties & licenses 1

Addresses

Other names 1

• BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirstyn Kirkland Garron, PMHNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbia, SC
  • NPI 1619868536
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1104702331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 FALCON CT",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539067",
            "telephone_number": "864-337-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 FALCON CT",
            "city": "HODGES",
            "state": "SC",
            "postal_code": "296539067",
            "telephone_number": "864-337-3013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "864-337-3013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cambridge Ave E",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296462221",
            "country_code": "US",
            "telephone_number": "864-337-3013",
            "fax_number": "864-448-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "GARRON",
        "authorized_official_first_name": "KIRSTYN",
        "authorized_official_middle_name": "KIRKLAND",
        "authorized_official_title_or_position": "OWNER/PMHNP-BC",
        "authorized_official_telephone_number": "864-337-3013",
        "authorized_official_credential": "PMHNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLOSSOM WELLNESS & PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn F Cathcart, D.M.D.
• Jill Nicholson Evans, RN
• Joseph D Fennell Jr., D.M.D.
• William Edward Fowler, MD
• Jed Alan Graham, MD

• Psychiatric/Mental Health Nurse Practitioner in Hodges, SC
• Providers in Hodges, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.