Healthcare Provider Details

I. General information

NPI: 1366358392
Provider Name (Legal Business Name): LITTLE BLOOMS THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7311 SWAN LAKE DR
NEW PORT RICHEY FL
34655-4045
US

IV. Provider business mailing address

7311 SWAN LAKE DR
NEW PORT RICHEY FL
34655-4045
US

V. Phone/Fax

Practice location:
  • Phone: 727-599-6292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MEGAN STANLEY
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS CCC/SLP
Phone: 727-599-6292