| Bloom Family Services | |
|
1701 S 1st Ave Ste 204c Maywood IL 60153-2400 | |
| (773) 676-6900 | |
| Not Available |
| Full Name | Bloom Family Services |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1701 S 1st Ave Ste 204c, Maywood, Illinois |
| Authorized Official Name and Position | Lakita Lakita Kent (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7736769600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Family Services 1701 S 1st Ave Ste 204c Maywood IL 60153-2400 Ph: (773) 676-6900 | Bloom Family Services 1701 S 1st Ave Ste 204c Maywood IL 60153-2400 Ph: (773) 676-6900 |
| NPI Number | 1619809738 |
|---|---|
| Provider Enumeration Date | 06/02/2026 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619809738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Plcca Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison W St, Maywood, IL 60153 Phone: 708-450-3500 | |
Way Back Inn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Oak St., Maywood, IL 60153 Phone: 708-344-3301 Fax: 708-344-2944 | |
Proviso-leyden Council For Community Action Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-236-5042 | |
Presence Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 S 6th Ave, Maywood, IL 60153 Phone: 708-681-2324 Fax: 708-345-5496 | |
Enhanced Clinical Solutions, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 S 1st Ave, Suite# 310, Maywood, IL 60153 Phone: 708-344-0884 Fax: 708-343-5629 | |
Proviso-leyden Council For Community Action Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S 5th Ave, Maywood, IL 60153 Phone: 708-343-1275 | |
Proviso-leyden Council For Community Action Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Madison St, Maywood, IL 60153 Phone: 708-450-3500 Fax: 708-236-5184 |