| Bloom Psychotherapy Center | |
|
732 Eden Way N # 228 Chesapeake VA 23320-2798 | |
| (757) 610-1241 | |
| Not Available |
| Full Name | Bloom Psychotherapy Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 732 Eden Way N # 228, Chesapeake, Virginia |
| Authorized Official Name and Position | Catina Williams (OWNER) |
| Authorized Official Contact | 7576101241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Psychotherapy Center 732 Eden Way N # 228 Chesapeake VA 23320-2798 Ph: (757) 610-1241 | Bloom Psychotherapy Center 732 Eden Way N # 228 Chesapeake VA 23320-2798 Ph: (757) 610-1241 |
| NPI Number | 1922576834 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 11/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922576834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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