| Bloom Therapy LLC | |
|
440 Main St Ste 6 Stoneham MA 02180-2649 | |
| (574) 212-2685 | |
| Not Available |
| Full Name | Bloom Therapy LLC |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 440 Main St Ste 6, Stoneham, Massachusetts |
| Authorized Official Name and Position | Kira Bloom (LICSW) |
| Authorized Official Contact | 5742122685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy LLC 440 Main St Ste 6 Stoneham MA 02180-2649 Ph: (574) 212-2685 | Bloom Therapy LLC 440 Main St Ste 6 Stoneham MA 02180-2649 Ph: (574) 212-2685 |
| NPI Number | 1578388799 |
|---|---|
| Provider Enumeration Date | 11/21/2024 |
| Last Update Date | 11/21/2024 |
| Certification Date | 11/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578388799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (NU) | Primary |
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