Bloom Therapy
Counselor, Mental Health in Dora, AL. Organization (NPI-2).
NPI number1841920477
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1841920477
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloom Therapy
- Organization subpart
- No
- Enumeration date
- Jun 15, 2022
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
6958 Brightwell LnDora, AL 35062-2613
Phone 334-357-9183
Mailing address
4124 Watermelon Rd Ste BNorthport, AL 35473-5252
Phone 334-357-9183
Authorized official
Lakedra J Rodgers
Owner
3343579183
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