Sunflowers Bloom Wellness LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SUNFLOWERS BLOOM WELLNESS LLC

Practice address

3466 SW Pluto St
Port St Lucie, FL 34953-3483

Phone

(772) 494-5135

NPI assigned

Aug 7, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal Ann Kelly, LMFTNPI 1346967023

Title

LMFT

Phone

(772) 494-5135

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Ann Kelly, MS, LMFT

  • Marriage & Family Therapist
  • Stuart, FL
  • NPI 1346967023
  NPD Authorized official

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1194555664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SE VETERANS MEMORIAL PKWY # 7084",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349524872",
            "telephone_number": "772-494-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 SW PLUTO ST",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533483",
            "telephone_number": "772-494-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWERS BLOOM WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "772-494-5135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Sudduth, MD
• Sudhir K Nayer MD & Assoc PA
• Anne Suffrin
• Suresh Sukhraj
• Umawattie Sukhraj
• Sunshine Pediatric Clinic PA
• Sunshine Physician Associates LLC
• Sunshine Psychiatry & Wellness, PLLC
• Superior Living 'LLC'
• Suramed Health Center, PA

• Marriage & Family Therapist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.