| 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 |