Ms Amber Holly Bloom, MA, LMFT | |
1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 | |
(952) 737-6203 | |
Not Available |
Full Name | Ms Amber Holly Bloom |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1801 American Blvd E Ste 1, Bloomington, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972004828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 3645 (Minnesota) | Primary |
Entity Name | Fraser Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609922194 PECOS PAC ID: 3971918772 Enrollment ID: O20210208002399 |
Mailing Address | Practice Location Address |
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Ms Amber Holly Bloom, MA, LMFT 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 Ph: () - | Ms Amber Holly Bloom, MA, LMFT 1801 American Blvd E Ste 1, Bloomington, MN 55425-1230 Ph: (952) 737-6203 |
Judith Louise Ross Agustin, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S Ste 150h, Bloomington, MN 55431 Phone: 612-314-6012 | |
Ms. Carolynne J Moffat, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7800 Metro Pkwy, Suite 300, Bloomington, MN 55425 Phone: 651-278-7607 Fax: 952-851-9618 | |
Debbie Lynn Hennen-bergman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8100 Penn Ave S, Suite 104, Bloomington, MN 55431 Phone: 952-457-8557 | |
Mr. David Alois Praska Jr., MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1101 E 78th St Ste 100, Bloomington, MN 55420 Phone: 952-854-5034 Fax: 952-854-5363 | |
Brian Patrick Zirngible, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1101 E 78th St, Suite 318, Bloomington, MN 55420 Phone: 612-670-5848 | |
Melissa Lee Gawlik, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8120 Penn Ave S Ste 270, Bloomington, MN 55431 Phone: 800-336-5973 | |
Ms. Mary B Keen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7900 International Dr, Suite 287, Bloomington, MN 55425 Phone: 952-851-5540 Fax: 952-851-5541 |