| Bloom Therapy Services, Llc | |
|
16 Violet Ct London KY 40741-9282 | |
| (606) 344-2671 | |
| Not Available |
| Full Name | Bloom Therapy Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 16 Violet Ct, London, Kentucky |
| Authorized Official Name and Position | Amber Madden (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6063442671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy Services, Llc 16 Violet Ct London KY 40741-9282 Ph: (606) 344-2671 | Bloom Therapy Services, Llc 16 Violet Ct London KY 40741-9282 Ph: (606) 344-2671 |
| NPI Number | 1346839487 |
|---|---|
| Provider Enumeration Date | 01/13/2021 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346839487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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