| Blooming Behavioral Health | |
|
775 Bridge Hollow Rd Unit D Somerset KY 42503-6389 | |
| (606) 687-1427 | |
| Not Available |
| Full Name | Blooming Behavioral Health |
|---|---|
| Speciality | Counselor |
| Location | 775 Bridge Hollow Rd Unit D, Somerset, Kentucky |
| Authorized Official Name and Position | Amber D Coyle (OWNER) |
| Authorized Official Contact | 6066871427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Behavioral Health 775 Bridge Hollow Rd Unit D Somerset KY 42503-6389 Ph: (606) 687-1427 | Blooming Behavioral Health 775 Bridge Hollow Rd Unit D Somerset KY 42503-6389 Ph: (606) 687-1427 |
| NPI Number | 1821840174 |
|---|---|
| Provider Enumeration Date | 04/02/2024 |
| Last Update Date | 05/05/2025 |
| Certification Date | 05/05/2025 |
| Medicare PECOS PAC ID | 6103355334 |
|---|---|
| Medicare Enrollment ID | O20250131003097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821840174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amber Coyle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215419866 PECOS PAC ID: 7911436142 Enrollment ID: I20250203000415 |
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