| Bloom & Balance, Pllc | |
|
5 N Lafayette St Ste 3 Shelby NC 28150-5687 | |
| (980) 552-9374 | |
| (980) 552-9275 |
| Full Name | Bloom & Balance, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 5 N Lafayette St Ste 3, Shelby, North Carolina |
| Authorized Official Name and Position | Ashtin Dicochea (OWNER) |
| Authorized Official Contact | 9107051698 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom & Balance, Pllc 5 N Lafayette St Ste 3 Shelby NC 28150-5687 Ph: (910) 705-1698 | Bloom & Balance, Pllc 5 N Lafayette St Ste 3 Shelby NC 28150-5687 Ph: (980) 552-9374 |
| NPI Number | 1932739166 |
|---|---|
| Provider Enumeration Date | 01/15/2020 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Medicare PECOS PAC ID | 4981080959 |
|---|---|
| Medicare Enrollment ID | O20220928000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932739166 | NPI | - | NPPES |
| Provider Name | Ashtin K Dicochea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598130692 PECOS PAC ID: 3678817442 Enrollment ID: I20181205001072 |
| Provider Name | Toni Nicholson Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306352604 PECOS PAC ID: 9335525302 Enrollment ID: I20221013000355 |
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