| Bloom Therapy Treatment Center | |
|
5293 Bentgrass Dr Stagecoach NV 89429-8481 | |
| (775) 223-1009 | |
| Not Available |
| Full Name | Bloom Therapy Treatment Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5293 Bentgrass Dr, Stagecoach, Nevada |
| Authorized Official Name and Position | Alexa K Waldmann (OWNER) |
| Authorized Official Contact | 7752231009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy Treatment Center 62 S Maddux Dr Reno NV 89512-1831 Ph: (775) 223-1009 | Bloom Therapy Treatment Center 5293 Bentgrass Dr Stagecoach NV 89429-8481 Ph: (775) 223-1009 |
| NPI Number | 1467242800 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467242800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |