| Bloom Women's Counseling, Llc | |
|
122 S Locust St Suite 5 Sycamore IL 60178-1865 | |
| (815) 508-6936 | |
| (815) 599-1380 |
| Full Name | Bloom Women's Counseling, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 122 S Locust St, Sycamore, Illinois |
| Authorized Official Name and Position | Stephanie Nelson-gerhardt (OWNER/MANAGER) |
| Authorized Official Contact | 8155086936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Women's Counseling, Llc 122 S Locust St Suite 5 Sycamore IL 60178-1865 Ph: (815) 508-6936 | Bloom Women's Counseling, Llc 122 S Locust St Suite 5 Sycamore IL 60178-1865 Ph: (815) 508-6936 |
| NPI Number | 1275995128 |
|---|---|
| Provider Enumeration Date | 03/21/2016 |
| Last Update Date | 03/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275995128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.000746 (Illinois) | Primary |
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