| Bloom Balance Collaborative Llc | |
|
3620 Grand Ave Mchenry IL 60050-3819 | |
| (847) 421-5534 | |
| Not Available |
| Full Name | Bloom Balance Collaborative Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3620 Grand Ave, Mchenry, Illinois |
| Authorized Official Name and Position | Shaina Krugman (OWNER/THERAPIST) |
| Authorized Official Contact | 8474215534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Balance Collaborative Llc 3620 Grand Ave Mchenry IL 60050-3819 Ph: (847) 421-5534 | Bloom Balance Collaborative Llc 3620 Grand Ave Mchenry IL 60050-3819 Ph: (847) 421-5534 |
| NPI Number | 1184423154 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184423154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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