Active NPI
In Full Bloom Psychotherapy and Wellness, LLC
- Multi-Specialty Clinic/Center
- Birmingham, AL
National Provider Identifier
1477419927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Professional Counselor
- Birmingham, AL
- NPI 1740316892
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": []
}
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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.