| Bloom Therapeutics, Llc | |
|
7303 Hanover Pkwy Ste C Greenbelt MD 20770-2029 | |
| (240) 758-2142 | |
| (301) 441-2511 |
| Full Name | Bloom Therapeutics, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7303 Hanover Pkwy Ste C, Greenbelt, Maryland |
| Authorized Official Name and Position | Connie Jones (THERAPIST/OWNER) |
| Authorized Official Contact | 2407582142 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapeutics, Llc 7303 Hanover Pkwy Ste C Greenbelt MD 20770-2029 Ph: (240) 758-2142 | Bloom Therapeutics, Llc 7303 Hanover Pkwy Ste C Greenbelt MD 20770-2029 Ph: (240) 758-2142 |
| NPI Number | 1629570056 |
|---|---|
| Provider Enumeration Date | 03/01/2018 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629570056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LC6689 (Maryland) | Primary |
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