| Bloom Therapy | |
|
8 Sleepy Hollow Dr Oak Ridge NJ 07438-9351 | |
| (973) 945-1793 | |
| Not Available |
| Full Name | Bloom Therapy |
|---|---|
| Speciality | Counselor |
| Location | 8 Sleepy Hollow Dr, Oak Ridge, New Jersey |
| Authorized Official Name and Position | Carly Neuschatz (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9739451793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy 8 Sleepy Hollow Dr Oak Ridge NJ 07438-9351 Ph: (973) 945-1793 | Bloom Therapy 8 Sleepy Hollow Dr Oak Ridge NJ 07438-9351 Ph: (973) 945-1793 |
| NPI Number | 1093687311 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 09/18/2025 |
| Certification Date | 09/18/2025 |
| Medicare PECOS PAC ID | 2466946843 |
|---|---|
| Medicare Enrollment ID | O20251212001401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093687311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Carly C Neuschatz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386289270 PECOS PAC ID: 8628412467 Enrollment ID: I20240220001795 |
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