| Bloom Psychotherapy, Llc | |
| 
					3 Holly Ln West Tisbury MA 02575-5316  | |
| (774) 244-0598 | |
| Not Available | 
| Full Name | Bloom Psychotherapy, Llc | 
|---|---|
| Speciality | Counselor - Mental Health | 
| Location | 3 Holly Ln, West Tisbury, Massachusetts | 
| Authorized Official Name and Position | Kayla Johnson (LICENSED MENTAL HEALTH COUNSELOR) | 
| Authorized Official Contact | 7742440598 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bloom Psychotherapy, Llc 3 Holly Ln West Tisbury MA 02575-5316 Ph: (774) 244-0598  | Bloom Psychotherapy, Llc 3 Holly Ln West Tisbury MA 02575-5316 Ph: (774) 244-0598  | 
| NPI Number | 1598484966 | 
|---|---|
| Provider Enumeration Date | 08/26/2022 | 
| Last Update Date | 08/26/2022 | 
| Certification Date | 08/26/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598484966 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
Amanda H. Saltzberg Lmhc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Eliakims Way, West Tisbury, MA 02575 Phone: 508-274-9570  | |
Amanda H. Saltzberg Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Eliakims Way, West Tisbury, MA 02575 Phone: 508-274-9570  |