IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC – NPI #1477419927
Clinic/Center

IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC is an AHC clinic located in BIRMINGHAM, AL. NPPES has assigned the NPI number 1477419927 to IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC on December 29, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC below.

NPI Profile for
IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC

NPI Number
1477419927
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IN FULL BLOOM PSYCHOTHERAPY AND WELLNESS, LLC
Primary location
2129 18TH ST. SOUTH
C/O
BIRMINGHAM, AL 35209
Phone: (215) 421-2942 Fax:
Mailing address
2810 N CHURCH ST # 947303
WILMINGTON, DE 19802-4447
Phone: (215) 421-2942 Fax:
Organization Subpart
No
Authorized Official
MICHELLE DEAN
FOUNDER, EXECUTIVE DIRECTOR
Phone: (215) 421-2942
Updated
Certification Date
Dec 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.