| Somaloom, Llc | |
|
11656 Bay Harbor Blvd San Antonio FL 33576 | |
| (656) 256-5081 | |
| Not Available |
| Full Name | Somaloom, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11656 Bay Harbor Blvd, San Antonio, Florida |
| Authorized Official Name and Position | Maria Lam (OWNER) |
| Authorized Official Contact | 6562565081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Somaloom, Llc 5005 W Laurel St Ste 100 Tampa FL 33607-3896 Ph: (656) 256-5081 | Somaloom, Llc 11656 Bay Harbor Blvd San Antonio FL 33576 Ph: (656) 256-5081 |
| NPI Number | 1730034679 |
|---|---|
| Provider Enumeration Date | 03/04/2026 |
| Last Update Date | 03/04/2026 |
| Certification Date | 03/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730034679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Community Victory Family Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32750 Pennsylvania Ave, San Antonio, FL 33576 Phone: 813-440-2741 Fax: 813-388-4490 |