| Bloom Counseling And Associates | |
|
2609 Montega Dr Ste B Springfield IL 62704-7011 | |
| (217) 971-3182 | |
| Not Available |
| Full Name | Bloom Counseling And Associates |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2609 Montega Dr Ste B, Springfield, Illinois |
| Authorized Official Name and Position | Jill Talavera (PARNTER) |
| Authorized Official Contact | 2179713182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling And Associates 2609 Montega Dr Ste B Springfield IL 62704-7011 Ph: (217) 971-3182 | Bloom Counseling And Associates 2609 Montega Dr Ste B Springfield IL 62704-7011 Ph: (217) 971-3182 |
| NPI Number | 1891637898 |
|---|---|
| Provider Enumeration Date | 04/08/2026 |
| Last Update Date | 04/08/2026 |
| Certification Date | 04/08/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891637898 | NPI | - | NPPES |
| 1578876176 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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