| Bloom Behavioral Healthcare Llc | |
|
14405 Salem Rd Excelsior Springs MO 64024-8400 | |
| (816) 585-1272 | |
| Not Available |
| Full Name | Bloom Behavioral Healthcare Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 14405 Salem Rd, Excelsior Springs, Missouri |
| Authorized Official Name and Position | Olivia Jo Holt (CO-OWNER/BCBA) |
| Authorized Official Contact | 8165851272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Behavioral Healthcare Llc 14405 Salem Rd Excelsior Springs MO 64024-8400 Ph: (816) 585-1272 | Bloom Behavioral Healthcare Llc 14405 Salem Rd Excelsior Springs MO 64024-8400 Ph: (816) 585-1272 |
| NPI Number | 1336896786 |
|---|---|
| Provider Enumeration Date | 03/06/2022 |
| Last Update Date | 03/06/2022 |
| Certification Date | 03/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336896786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
Step By Step Counseling Solutions, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 108 S Thompson Ave, Excelsior Springs, MO 64024 Phone: 816-721-4652 |