| Bloom In Session Psychotherapy & Consulting, Llc | |
|
3600 Jackson St Ste 113a Alexandria LA 71303-3040 | |
| (318) 442-5465 | |
| (318) 314-3011 |
| Full Name | Bloom In Session Psychotherapy & Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3600 Jackson St Ste 113a, Alexandria, Louisiana |
| Authorized Official Name and Position | Shareka Moore-roque (PROVIDER/OWNER) |
| Authorized Official Contact | 3182641069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom In Session Psychotherapy & Consulting, Llc 9 Winfield Rd Alexandria LA 71303 Ph: (318) 264-1069 | Bloom In Session Psychotherapy & Consulting, Llc 3600 Jackson St Ste 113a Alexandria LA 71303-3040 Ph: (318) 442-5465 |
| NPI Number | 1205500477 |
|---|---|
| Provider Enumeration Date | 08/02/2021 |
| Last Update Date | 08/03/2021 |
| Certification Date | 08/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205500477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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