| Bloom Counseling And Wellness | |
|
2003 South St Marshall TX 75670-4900 | |
| (404) 610-2902 | |
| Not Available |
| Full Name | Bloom Counseling And Wellness |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2003 South St, Marshall, Texas |
| Authorized Official Name and Position | Andrea E. Oneal (COUNSELOR) |
| Authorized Official Contact | 4046102902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling And Wellness Po Box 53204 Shreveport LA 71135-3204 Ph: (404) 610-2902 | Bloom Counseling And Wellness 2003 South St Marshall TX 75670-4900 Ph: (404) 610-2902 |
| NPI Number | 1477159549 |
|---|---|
| Provider Enumeration Date | 12/04/2020 |
| Last Update Date | 12/04/2020 |
| Certification Date | 12/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477159549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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