Bloom Psychotherapy, Llc | |
3 Holly Ln West Tisbury MA 02575-5316 | |
(774) 244-0598 | |
Not Available |
Full Name | Bloom Psychotherapy, Llc |
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Speciality | Counselor - Mental Health |
Location | 3 Holly Ln, West Tisbury, Massachusetts |
Authorized Official Name and Position | Kayla Johnson (LICENSED MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 7742440598 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bloom Psychotherapy, Llc 3 Holly Ln West Tisbury MA 02575-5316 Ph: (774) 244-0598 | Bloom Psychotherapy, Llc 3 Holly Ln West Tisbury MA 02575-5316 Ph: (774) 244-0598 |
NPI Number | 1598484966 |
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Provider Enumeration Date | 08/26/2022 |
Last Update Date | 08/26/2022 |
Certification Date | 08/26/2022 |
Identifier | Type | State | Issuer |
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1598484966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Amanda H. Saltzberg Lmhc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Eliakims Way, West Tisbury, MA 02575 Phone: 508-274-9570 | |
Amanda H. Saltzberg Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Eliakims Way, West Tisbury, MA 02575 Phone: 508-274-9570 |