Active NPI
Carolina Blooms Early Intervention
- Early Intervention Provider Agency
- Florence, SC
National Provider Identifier
1366370264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- CAROLINA BLOOMS EARLY INTERVENTION
- Practice address
- 1245 Celebration Blvd
Florence, SC 29501-5499 - Phone
- (864) 584-8315
- Fax
- (864) 551-2758
- NPI assigned
- May 11, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Darrell Tennie
- Title
- Administrator
- Phone
- (919) 217-0933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1245 Celebration Blvd
Florence, SC 29501-5499
Mailing address
1245 Celebration Blvd
Florence, SC 29501-5499
Phone (864) 584-8315
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778457600000",
"number": "1366370264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 CELEBRATION BLVD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015499",
"telephone_number": "864-584-8315",
"fax_number": "864-551-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 CELEBRATION BLVD",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295015499",
"telephone_number": "864-584-8315",
"fax_number": "864-551-2758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA BLOOMS EARLY INTERVENTION",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-11",
"status": "A",
"authorized_official_last_name": "TENNIE",
"authorized_official_first_name": "DARRELL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "919-217-0933",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
- Maria Julia Carlson, LPC
- Carlyle Senior Care of Florence,LLC
- Carlyle Senior Care of Florence,LLC
- Michael Jay Carmichael, MD
- Christina Lynn Carnell, MS, OTR/L
- Carolina Connections & Interventions LLC
- Carolina Counseling Connection, LLC
- Carolina Early Intervention, LLC
- Carolina Facial Plastic Surgery PA
- Carolina Family Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.