| Bloom Behavior Therapy Llc | |
|
6201 Benton Rd Paducah KY 42003-1304 | |
| (270) 908-0461 | |
| (270) 366-0780 |
| Full Name | Bloom Behavior Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6201 Benton Rd, Paducah, Kentucky |
| Authorized Official Name and Position | Becky L Nastally (OWNER) |
| Authorized Official Contact | 2709080461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavior Therapy Llc 6201 Benton Rd Paducah KY 42003-1304 Ph: (270) 908-0461 | Bloom Behavior Therapy Llc 6201 Benton Rd Paducah KY 42003-1304 Ph: (270) 908-0461 |
| NPI Number | 1770853939 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770853939 | NPI | - | NPPES |
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