| Bloom Haven Mental Health L.l.c | |
|
265 German Oak Dr Cordova TN 38018-7221 | |
| (901) 389-1832 | |
| Not Available |
| Full Name | Bloom Haven Mental Health L.l.c |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 265 German Oak Dr, Cordova, Tennessee |
| Authorized Official Name and Position | Saja B Mboge (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9014258432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Haven Mental Health L.l.c 265 German Oak Dr Cordova TN 38018-7221 Ph: (901) 389-1832 | Bloom Haven Mental Health L.l.c 265 German Oak Dr Cordova TN 38018-7221 Ph: (901) 389-1832 |
| NPI Number | 1245170687 |
|---|---|
| Provider Enumeration Date | 03/28/2026 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245170687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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