| Bloom Counseling & Family Services Corporation | |
|
11500 Nw Fwy Suite 465 Houston TX 77092 | |
| (713) 956-8194 | |
| (713) 683-1674 |
| Full Name | Bloom Counseling & Family Services Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 11500 Nw Fwy, Houston, Texas |
| Authorized Official Name and Position | Judi Ellen Bloom (OWNER/CEO) |
| Authorized Official Contact | 7139568194 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling & Family Services Corporation 11500 Nw Fwy Suite 465 Houston TX 77092 Ph: (713) 956-8194 | Bloom Counseling & Family Services Corporation 11500 Nw Fwy Suite 465 Houston TX 77092 Ph: (713) 956-8194 |
| NPI Number | 1407841299 |
|---|---|
| Provider Enumeration Date | 09/16/2005 |
| Last Update Date | 03/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407841299 | NPI | - | NPPES |
| 156174801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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