| Amy Bloom Consulting, Llc | |
|
6865 Huntington Ln Apt 207 Delray Beach FL 33446-3011 | |
| (561) 445-7631 | |
| Not Available |
| Full Name | Amy Bloom Consulting, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6865 Huntington Ln Apt 207, Delray Beach, Florida |
| Authorized Official Name and Position | Amy Bloom (OWNER) |
| Authorized Official Contact | 5614457631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Bloom Consulting, Llc 6865 Huntington Ln Apt 207 Delray Beach FL 33446-3011 Ph: (561) 445-7631 | Amy Bloom Consulting, Llc 6865 Huntington Ln Apt 207 Delray Beach FL 33446-3011 Ph: (561) 445-7631 |
| NPI Number | 1184359754 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 1456719293 |
|---|---|
| Medicare Enrollment ID | O20230626003278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184359754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amy M Bloom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992146435 PECOS PAC ID: 8921236076 Enrollment ID: I20140116001567 |
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