Full Bloom Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FULL BLOOM SPEECH THERAPY LLC

Doing business as

Full Bloom Speech Therapy

Practice address

905 Camellia Ave
Winter Park, FL 32789-5625

Phone

(407) 506-2625

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Kristen Morrison, M.A., CCC-SLPNPI 1346649332

Title

Owner/Speech-Language Pathologist

Phone

(407) 506-2625

Specialties & licenses 1

Addresses

Other names 1

• Full Bloom Speech Therapy Doing business as

Practitioners 1

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

• Kristen Marie Morrison, M.A., CF-SLP

  • Speech-Language Pathologist
  • Oviedo, FL
  • NPI 1346649332
  NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1396517140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CAMELLIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895625",
            "telephone_number": "407-506-2625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CAMELLIA AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895625",
            "telephone_number": "407-506-2625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL BLOOM SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "407-506-2625",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Full Bloom Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darcy Fritz, LCSW
• Teresita Fuentes Arias
• Priscila Nicole Fuentes Martinez
• Delfin J Fuentes, M.D.
• Delia E. Fuentes, LCSW
• Full Spine Chiropractic, LLC
• Teresa Marie Fullan, MSW
• Fuller Chiropractic Offices PA
• Barbara Jo Fuller, MS
• Joseph Edward Fuller, D.C.

• Speech-Language Pathologist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.