| Bloom Behavioral Health, Llc | |
|
20700 Southgate Park Blvd Maple Heights OH 44137-2913 | |
| (216) 681-9052 | |
| Not Available |
| Full Name | Bloom Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 20700 Southgate Park Blvd, Maple Heights, Ohio |
| Authorized Official Name and Position | Veranda Rodgers (PRESIDENT & CEO) |
| Authorized Official Contact | 2166819052 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral Health, Llc 20700 Southgate Park Blvd Maple Heights OH 44137-2913 Ph: (216) 681-9052 | Bloom Behavioral Health, Llc 20700 Southgate Park Blvd Maple Heights OH 44137-2913 Ph: (216) 681-9052 |
| NPI Number | 1740009687 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740009687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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