| Bridge & Bloom Therapy PLLC | |
|
19306 Ecorse Rd Ste 103 Allen Park MI 48101-2262 | |
| (734) 845-9535 | |
| Not Available |
| Full Name | Bridge & Bloom Therapy PLLC |
|---|---|
| Speciality | Social Worker |
| Location | 19306 Ecorse Rd Ste 103, Allen Park, Michigan |
| Authorized Official Name and Position | Diana Schein (LICENSED MASTER SOCIAL WORKER) |
| Authorized Official Contact | 7348459535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge & Bloom Therapy PLLC 19306 Ecorse Rd Ste 103 Allen Park MI 48101-2262 Ph: (734) 845-9535 | Bridge & Bloom Therapy PLLC 19306 Ecorse Rd Ste 103 Allen Park MI 48101-2262 Ph: (734) 845-9535 |
| NPI Number | 1902762388 |
|---|---|
| Provider Enumeration Date | 12/30/2025 |
| Last Update Date | 04/23/2026 |
| Certification Date | 04/23/2026 |
| Medicare PECOS PAC ID | 4486124641 |
|---|---|
| Medicare Enrollment ID | O20260528003287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902762388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Diana Nicole Schein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275003006 PECOS PAC ID: 1850757543 Enrollment ID: I20230523001341 |
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