OrganizationActive
Blossoming Wellbeing Telepsychiatry
NPI 1992319560 · Addiction Medicine (Psychiatry & Neurology) Physician · St Petersburg, FL
Provider details
- NPI number
- 1992319560
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- La Tasha Al-Jarboua, Owner/Ceo(304) 237-8733
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9800 4th St N Ste 200
St Petersburg, FL 33702-2462
Phone: (833) 399-0957
Fax: (727) 335-1174
Approximate (ZIP-level) locationGet directions
Mailing address
9800 4th St N Ste 200
St Petersburg, FL 33702-2462
Registry dates
- Enumerated
- 2020-09-01
- Last updated
- 2020-11-17
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.