| Bloom Therapy Llc | |
|
112 Shoshone St. E.suite 210 Twin Falls ID 83301-8330 | |
| (208) 420-5336 | |
| Not Available |
| Full Name | Bloom Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 112 Shoshone St. E.suite 210, Twin Falls, Idaho |
| Authorized Official Name and Position | Irma Pavlovic (OWNER) |
| Authorized Official Contact | 2084205336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy Llc 847 Sun Peak Way Twin Falls ID 83301-8977 Ph: (208) 420-5336 | Bloom Therapy Llc 112 Shoshone St. E.suite 210 Twin Falls ID 83301-8330 Ph: (208) 420-5336 |
| NPI Number | 1720794852 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 02/03/2023 |
| Certification Date | 02/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720794852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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