| Bloom House Therapy and Wellness LLC. | |
|
337 S Walnut St Statesboro GA 30458-5418 | |
| (912) 493-7783 | |
| (912) 205-6876 |
| Full Name | Bloom House Therapy and Wellness LLC. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 337 S Walnut St, Statesboro, Georgia |
| Authorized Official Name and Position | Chelsea Weaver (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9124937783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom House Therapy and Wellness LLC. 337 S Walnut St Statesboro GA 30458-5418 Ph: (912) 493-7783 | Bloom House Therapy and Wellness LLC. 337 S Walnut St Statesboro GA 30458-5418 Ph: (912) 493-7783 |
| NPI Number | 1487413472 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487413472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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