Healthcare Provider Details

I. General information

NPI: 1154236255
Provider Name (Legal Business Name): STORM & BLOOM WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 09/15/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 ARCH ST SUITE 1700
PHILADELPHIA PA
19104
US

IV. Provider business mailing address

30 S 15TH ST STE 1550
PHILADELPHIA PA
19102-4806
US

V. Phone/Fax

Practice location:
  • Phone: 856-320-5548
  • Fax:
Mailing address:
  • Phone: 609-680-7283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: RACHEL LEE SNYDER
Title or Position: DIRECTOR
Credential: LMHC, LPC
Phone: 609-680-7283