| Ilyse Bloom, Llc | |
|
3100 Arapahoe Ave Ste 101 Boulder CO 80303-1050 | |
| (303) 931-8492 | |
| Not Available |
| Full Name | Ilyse Bloom, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3100 Arapahoe Ave Ste 101, Boulder, Colorado |
| Authorized Official Name and Position | Ilyse Bloom (OWNER) |
| Authorized Official Contact | 3039318492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ilyse Bloom, Llc 4509 Wellington Rd Boulder CO 80301-3155 Ph: (303) 931-8492 | Ilyse Bloom, Llc 3100 Arapahoe Ave Ste 101 Boulder CO 80303-1050 Ph: (303) 931-8492 |
| NPI Number | 1053107359 |
|---|---|
| Provider Enumeration Date | 04/15/2025 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053107359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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