| Bloom Mental Wellness Team Llc | |
|
345 Doucet Rd Ste 102 Lafayette LA 70503-3490 | |
| (337) 205-9725 | |
| Not Available |
| Full Name | Bloom Mental Wellness Team Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 345 Doucet Rd Ste 102, Lafayette, Louisiana |
| Authorized Official Name and Position | Katherine Hebert (CO OWNER) |
| Authorized Official Contact | 3373545578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Mental Wellness Team Llc 4602 Noah Rd Maurice LA 70555-3065 Ph: (337) 354-5578 | Bloom Mental Wellness Team Llc 345 Doucet Rd Ste 102 Lafayette LA 70503-3490 Ph: (337) 205-9725 |
| NPI Number | 1881361244 |
|---|---|
| Provider Enumeration Date | 08/24/2021 |
| Last Update Date | 08/24/2021 |
| Certification Date | 08/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881361244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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