| Bloom Behavioral Health Llc | |
|
5 Sterling Hill Ln Apt 538 Exeter NH 03833-4902 | |
| (978) 419-2741 | |
| Not Available |
| Full Name | Bloom Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 5 Sterling Hill Ln Apt 538, Exeter, New Hampshire |
| Authorized Official Name and Position | Caroline Belt (OWNER) |
| Authorized Official Contact | 9784192741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral Health Llc 45 Lafayette Rd # 326 North Hampton NH 03862-2451 Ph: (978) 419-2741 | Bloom Behavioral Health Llc 5 Sterling Hill Ln Apt 538 Exeter NH 03833-4902 Ph: (978) 419-2741 |
| NPI Number | 1992483077 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 7517494248 |
|---|---|
| Medicare Enrollment ID | O20241219002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992483077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caroline C Belt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447528716 PECOS PAC ID: 2466792668 Enrollment ID: I20190326002454 |
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