| Blooming Health Farms | |
|
2116 16th St Greeley CO 80631-5117 | |
| (970) 518-5266 | |
| Not Available |
| Full Name | Blooming Health Farms |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2116 16th St, Greeley, Colorado |
| Authorized Official Name and Position | Ryan A Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9703812164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Health Farms 2116 16th St Greeley CO 80631-5117 Ph: (970) 518-5266 | Blooming Health Farms 2116 16th St Greeley CO 80631-5117 Ph: (970) 518-5266 |
| NPI Number | 1255003828 |
|---|---|
| Provider Enumeration Date | 10/01/2021 |
| Last Update Date | 10/01/2021 |
| Certification Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255003828 | NPI | - | NPPES |
| 9000196765 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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