| Bloom Counseling Collaborative PLLC | |
|
6640 W Wilkinson Blvd Ste 350 Belmont NC 28012-2796 | |
| (980) 277-0155 | |
| Not Available |
| Full Name | Bloom Counseling Collaborative PLLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6640 W Wilkinson Blvd Ste 350, Belmont, North Carolina |
| Authorized Official Name and Position | Catherine Bruce (CO-OWNER) |
| Authorized Official Contact | 7046894239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling Collaborative PLLC Po Box 1161 Belmont NC 28012-1161 | Bloom Counseling Collaborative PLLC 6640 W Wilkinson Blvd Ste 350 Belmont NC 28012-2796 Ph: (980) 277-0155 |
| NPI Number | 1174397293 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174397293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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