| Bloom Collective Healing Llc | |
|
201 Rue Beauregard Ste 202 Lafayette LA 70508-3251 | |
| (225) 800-2989 | |
| Not Available |
| Full Name | Bloom Collective Healing Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 Rue Beauregard Ste 202, Lafayette, Louisiana |
| Authorized Official Name and Position | Heather Poirrier (OWNER) |
| Authorized Official Contact | 2258002989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Collective Healing Llc 201 Rue Beauregard Ste 202 Lafayette LA 70508-3251 Ph: () - | Bloom Collective Healing Llc 201 Rue Beauregard Ste 202 Lafayette LA 70508-3251 Ph: (225) 800-2989 |
| NPI Number | 1245094796 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245094796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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