| Bloom And Blossom Llc. | |
|
882 Plantation Way Ste C Montgomery AL 36117-2217 | |
| (334) 546-4145 | |
| Not Available |
| Full Name | Bloom And Blossom Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 882 Plantation Way Ste C, Montgomery, Alabama |
| Authorized Official Name and Position | Melissa S Moore (CEO/OWNER) |
| Authorized Official Contact | 3345464145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom And Blossom Llc. 527 Legends Dr Montgomery AL 36116-6585 Ph: (334) 233-3361 | Bloom And Blossom Llc. 882 Plantation Way Ste C Montgomery AL 36117-2217 Ph: (334) 546-4145 |
| NPI Number | 1578186557 |
|---|---|
| Provider Enumeration Date | 05/25/2020 |
| Last Update Date | 05/25/2020 |
| Certification Date | 05/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578186557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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