| Bloom Behavioral Health | |
|
181 High St Nutley NJ 07110-1176 | |
| (973) 510-5578 | |
| Not Available |
| Full Name | Bloom Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 181 High St, Nutley, New Jersey |
| Authorized Official Name and Position | Michelle Forrester (OWNER) |
| Authorized Official Contact | 9735105578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral Health Po Box 267 West Orange NJ 07052-0267 Ph: () - | Bloom Behavioral Health 181 High St Nutley NJ 07110-1176 Ph: (973) 510-5578 |
| NPI Number | 1679384739 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679384739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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