| Bloomspace PLLC | |
|
2688 Fremont St Boulder CO 80304-2912 | |
| (276) 365-2275 | |
| Not Available |
| Full Name | Bloomspace PLLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2688 Fremont St, Boulder, Colorado |
| Authorized Official Name and Position | Georgia Horne (FOUNDER, THERAPIST) |
| Authorized Official Contact | 2763652275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomspace PLLC 1500 N Grant St Ste R Denver CO 80203-1859 Ph: (276) 365-2275 | Bloomspace PLLC 2688 Fremont St Boulder CO 80304-2912 Ph: (276) 365-2275 |
| NPI Number | 1003766486 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 02/03/2026 |
| Certification Date | 02/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003766486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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