Provider Demographics
NPI:1962199927
Name:BLISSFUL BEGINNINGS COUNSELING
Entity type:Organization
Organization Name:BLISSFUL BEGINNINGS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIRA
Authorized Official - Middle Name:NICHELLE
Authorized Official - Last Name:LUMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:904-712-1271
Mailing Address - Street 1:2285 KINGSLEY AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-5133
Mailing Address - Country:US
Mailing Address - Phone:904-712-1271
Mailing Address - Fax:
Practice Address - Street 1:3033 EAGLE BLUFF WAY
Practice Address - Street 2:
Practice Address - City:GREEN COVE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32043-8709
Practice Address - Country:US
Practice Address - Phone:904-712-1271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty