Organization Active NPI

In Full Bloom Psychotherapy and Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
National Provider Identifier
1477419927
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC
Practice address
2129 18TH St. South
C/O
Birmingham, AL 35209
Phone
(215) 421-2942
NPI assigned
Dec 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Michelle Lynn Dean, MA, ATR-BC, LPCNPI 1740316892
Title
Founder, Executive Director
Phone
(215) 421-2942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2129 18TH St. South
C/O
Birmingham, AL 35209

Mailing address

2810 N Church St # 947303
Wilmington, DE 19802-4447
Phone (215) 421-2942

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1766966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1477419927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N CHURCH ST # 947303",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024447",
            "telephone_number": "215-421-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 18TH ST. SOUTH",
            "address_2": "C/O",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "215-421-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-27",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "FOUNDER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-421-2942",
        "authorized_official_credential": "MA, ATR-BC, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.