| Bloom Flourish Mental Health Counseling, Pllc | |
|
755 New York Ave Ste 230 Huntington NY 11743-4285 | |
| (631) 683-8072 | |
| (631) 498-4952 |
| Full Name | Bloom Flourish Mental Health Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 755 New York Ave Ste 230, Huntington, New York |
| Authorized Official Name and Position | Tatiana Ashley Mclean (OWNER) |
| Authorized Official Contact | 6316838072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Flourish Mental Health Counseling, Pllc 755 New York Ave Ste 230 Huntington NY 11743-4285 Ph: (631) 683-8072 | Bloom Flourish Mental Health Counseling, Pllc 755 New York Ave Ste 230 Huntington NY 11743-4285 Ph: (631) 683-8072 |
| NPI Number | 1215500921 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 08/04/2021 |
| Certification Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215500921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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