Bloom Psychiatry & Wellness LLC
Nurse Practitioner, Psych/Mental Health in Atlanta, GA. Organization (NPI-2).
NPI number1669320180
StatusActive
Last updated in NPPESMar 19, 2026
Details
- NPI
- 1669320180
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloom Psychiatry & Wellness LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2026
- Certification date
- Mar 15, 2026
- Last updated
- Mar 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
1441 Woodmont Ln Nw # 678Atlanta, GA 30318-2866
Phone 678-800-0729
Mailing address
1441 Woodmont Ln Nw # 678Atlanta, GA 30318-2866
Phone 678-800-0729
Authorized official
Rosetta Tella
Ceo
6789562073
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