| Inner Bloom Therapy Llc | |
|
15460 W Capitol Dr Ste 210 Brookfield WI 53005-2632 | |
| (515) 450-7409 | |
| Not Available |
| Full Name | Inner Bloom Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15460 W Capitol Dr Ste 210, Brookfield, Wisconsin |
| Authorized Official Name and Position | Jamie Consamus (THERAPIST/OWNER) |
| Authorized Official Contact | 5154507409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Bloom Therapy Llc 832 Lynnewood Dr Waukesha WI 53188-5457 Ph: (515) 450-7409 | Inner Bloom Therapy Llc 15460 W Capitol Dr Ste 210 Brookfield WI 53005-2632 Ph: (515) 450-7409 |
| NPI Number | 1447191812 |
|---|---|
| Provider Enumeration Date | 04/01/2026 |
| Last Update Date | 04/30/2026 |
| Certification Date | 04/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447191812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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