| Bloom Counseling And Wellness, Llc | |
|
6500 Glenridge Park Pl Ste 8 Louisville KY 40222-3450 | |
| (502) 303-2449 | |
| Not Available |
| Full Name | Bloom Counseling And Wellness, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6500 Glenridge Park Pl Ste 8, Louisville, Kentucky |
| Authorized Official Name and Position | Christina Weber (FOUNDER) |
| Authorized Official Contact | 5023032449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling And Wellness, Llc 6500 Glenridge Park Pl Ste 8 Louisville KY 40222-3450 Ph: () - | Bloom Counseling And Wellness, Llc 6500 Glenridge Park Pl Ste 8 Louisville KY 40222-3450 Ph: (502) 303-2449 |
| NPI Number | 1124614177 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 01/06/2021 |
| Certification Date | 01/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124614177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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