| Bloom Therapy Llc | |
|
142 Bodine Rd Berwyn PA 19312-1027 | |
| (610) 639-4158 | |
| Not Available |
| Full Name | Bloom Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 142 Bodine Rd, Berwyn, Pennsylvania |
| Authorized Official Name and Position | Jennifer Lachance-poirrier (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9087976615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy Llc 142 Bodine Rd Berwyn PA 19312-1027 Ph: (908) 797-6615 | Bloom Therapy Llc 142 Bodine Rd Berwyn PA 19312-1027 Ph: (610) 639-4158 |
| NPI Number | 1316587470 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316587470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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