| Bloom Supports | |
|
589 Feather Creek Rd Campbellsville KY 42718-4988 | |
| (270) 789-8956 | |
| Not Available |
| Full Name | Bloom Supports |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 589 Feather Creek Rd, Campbellsville, Kentucky |
| Authorized Official Name and Position | Jessica Paris (OWNER) |
| Authorized Official Contact | 2707898956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Supports 589 Feather Creek Rd Campbellsville KY 42718-4988 Ph: (270) 789-8956 | Bloom Supports 589 Feather Creek Rd Campbellsville KY 42718-4988 Ph: (270) 789-8956 |
| NPI Number | 1164378907 |
|---|---|
| Provider Enumeration Date | 03/05/2026 |
| Last Update Date | 03/11/2026 |
| Certification Date | 03/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164378907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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