| Bloom Wellness Llc | |
|
10585 Ute Pass Avenue Green Mountain Falls CO 80809 | |
| (719) 286-9077 | |
| Not Available |
| Full Name | Bloom Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10585 Ute Pass Avenue, Green Mountain Falls, Colorado |
| Authorized Official Name and Position | Laura Magnuson (OWNER/CLINICIAN) |
| Authorized Official Contact | 7192869077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Wellness Llc 417 Beaver Pond Rd Divide CO 80814-7792 Ph: (719) 286-9077 | Bloom Wellness Llc 10585 Ute Pass Avenue Green Mountain Falls CO 80809 Ph: (719) 286-9077 |
| NPI Number | 1114723558 |
|---|---|
| Provider Enumeration Date | 02/24/2025 |
| Last Update Date | 02/24/2025 |
| Certification Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114723558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |