| The Bloom Studio And Counseling Services Llc | |
|
1605 Southcross Dr W Ste 100 Burnsville MN 55306-7013 | |
| (612) 963-4242 | |
| Not Available |
| Full Name | The Bloom Studio And Counseling Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1605 Southcross Dr W Ste 100, Burnsville, Minnesota |
| Authorized Official Name and Position | Elliesha Hahn (OWNER) |
| Authorized Official Contact | 6129634242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bloom Studio And Counseling Services Llc 8547 Grove Cir Shakopee MN 55379-8096 Ph: (612) 963-4242 | The Bloom Studio And Counseling Services Llc 1605 Southcross Dr W Ste 100 Burnsville MN 55306-7013 Ph: (612) 963-4242 |
| NPI Number | 1689427775 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689427775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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