| Bloom Therapy | |
|
500 E 83rd St Apt 4l New York NY 10028-7382 | |
| (888) 517-4992 | |
| (252) 377-4231 |
| Full Name | Bloom Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 E 83rd St Apt 4l, New York, New York |
| Authorized Official Name and Position | Michelle Bloom (OWNER PROVIDER) |
| Authorized Official Contact | 8885174992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy 500 E 83rd St Apt 4l New York NY 10028-7382 Ph: (888) 517-4992 | Bloom Therapy 500 E 83rd St Apt 4l New York NY 10028-7382 Ph: (888) 517-4992 |
| NPI Number | 1538615141 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538615141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 081585 (New York) | Primary |
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