| Bloom Behavioral Health Pllc | |
|
4103 San Felice Point Colorado Springs CO 80906 | |
| (719) 300-9369 | |
| Not Available |
| Full Name | Bloom Behavioral Health Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4103 San Felice Point, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sabrah Jean Collar (OWNER/PMHNP) |
| Authorized Official Contact | 7193009369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral Health Pllc 6510 S Academy Blvd Ste A #719 Colorado Springs CO 80906-8691 Ph: (719) 300-9369 | Bloom Behavioral Health Pllc 4103 San Felice Point Colorado Springs CO 80906 Ph: (719) 300-9369 |
| NPI Number | 1518798206 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518798206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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