| Blooming Wellness Llc | |
|
N8030 Townline Rd East Troy WI 53120-3500 | |
| (262) 228-8931 | |
| Not Available |
| Full Name | Blooming Wellness Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | N8030 Townline Rd, East Troy, Wisconsin |
| Authorized Official Name and Position | Jade Elizabeth Fowler (PRESIDENT) |
| Authorized Official Contact | 6087729895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Wellness Llc 12581 Duncan Ln Unit 103 New Berlin WI 53151-8796 Ph: (262) 228-8931 | Blooming Wellness Llc N8030 Townline Rd East Troy WI 53120-3500 Ph: (262) 228-8931 |
| NPI Number | 1821929431 |
|---|---|
| Provider Enumeration Date | 05/25/2026 |
| Last Update Date | 05/25/2026 |
| Certification Date | 05/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821929431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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