| Bloom Therapy | |
|
6958 Brightwell Ln Dora AL 35062-2613 | |
| (334) 357-9183 | |
| Not Available |
| Full Name | Bloom Therapy |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6958 Brightwell Ln, Dora, Alabama |
| Authorized Official Name and Position | Lakedra J Rodgers (OWNER) |
| Authorized Official Contact | 3343579183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy 4124 Watermelon Rd Ste B Northport AL 35473-5252 Ph: (334) 357-9183 | Bloom Therapy 6958 Brightwell Ln Dora AL 35062-2613 Ph: (334) 357-9183 |
| NPI Number | 1841920477 |
|---|---|
| Provider Enumeration Date | 06/15/2022 |
| Last Update Date | 09/19/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841920477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Angela Moore Counseling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2165 Hwy 78, Ste 100, Dora, AL 35062 Phone: 205-648-4567 Fax: 205-648-4551 |