| Guided Bloom | |
|
18141 Dixie Hwy Ste 202 Homewood IL 60430-2243 | |
| (708) 740-4976 | |
| Not Available |
| Full Name | Guided Bloom |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18141 Dixie Hwy Ste 202, Homewood, Illinois |
| Authorized Official Name and Position | Kelly King-holliday (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7087404976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guided Bloom 18141 Dixie Hwy Ste 202 Homewood IL 60430-2243 Ph: (708) 740-4976 | Guided Bloom 18141 Dixie Hwy Ste 202 Homewood IL 60430-2243 Ph: (708) 740-4976 |
| NPI Number | 1306702600 |
|---|---|
| Provider Enumeration Date | 12/30/2025 |
| Last Update Date | 01/01/2026 |
| Certification Date | 01/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306702600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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