| Bloom Counseling Llc | |
|
679 Cross Meadows Dr Valparaiso IN 46385-8847 | |
| (219) 246-8873 | |
| Not Available |
| Full Name | Bloom Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 679 Cross Meadows Dr, Valparaiso, Indiana |
| Authorized Official Name and Position | Jilissa Copeland (CEO) |
| Authorized Official Contact | 2192468873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Counseling Llc 679 Cross Meadows Dr Valparaiso IN 46385-8847 Ph: (219) 246-8873 | Bloom Counseling Llc 679 Cross Meadows Dr Valparaiso IN 46385-8847 Ph: (219) 246-8873 |
| NPI Number | 1275353450 |
|---|---|
| Provider Enumeration Date | 10/14/2024 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275353450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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