| Bloom Mh Therapy, Llc | |
|
20108 Cypress Ave Lynwood IL 60411-6809 | |
| (872) 222-5758 | |
| Not Available |
| Full Name | Bloom Mh Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20108 Cypress Ave, Lynwood, Illinois |
| Authorized Official Name and Position | Alishia Flowers (SOLE OWNER) |
| Authorized Official Contact | 8722225758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Mh Therapy, Llc 20108 Cypress Ave Lynwood IL 60411-6809 Ph: (872) 222-5758 | Bloom Mh Therapy, Llc 20108 Cypress Ave Lynwood IL 60411-6809 Ph: (872) 222-5758 |
| NPI Number | 1982579801 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982579801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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