| Bloom Therapy, Plc | |
|
3350 Utica Ridge Rd Bettendorf IA 52722-1616 | |
| (563) 265-5063 | |
| (877) 583-4958 |
| Full Name | Bloom Therapy, Plc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3350 Utica Ridge Rd, Bettendorf, Iowa |
| Authorized Official Name and Position | Zachery Nielsen (OWNER) |
| Authorized Official Contact | 5632655063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy, Plc 3350 Utica Ridge Rd Bettendorf IA 52722-1616 Ph: (563) 265-5063 | Bloom Therapy, Plc 3350 Utica Ridge Rd Bettendorf IA 52722-1616 Ph: (563) 265-5063 |
| NPI Number | 1740901388 |
|---|---|
| Provider Enumeration Date | 09/12/2022 |
| Last Update Date | 03/03/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740901388 | NPI | - | NPPES |
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