| Bloomin Family Therapy, Llc | |
|
207 S Main St Moscow ID 83843-2807 | |
| (208) 244-1446 | |
| Not Available |
| Full Name | Bloomin Family Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 207 S Main St, Moscow, Idaho |
| Authorized Official Name and Position | Chantel Zuercher (OWNER) |
| Authorized Official Contact | 2082441446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomin Family Therapy, Llc 1270a Sw Center St Pullman WA 99163-5388 Ph: (208) 244-1446 | Bloomin Family Therapy, Llc 207 S Main St Moscow ID 83843-2807 Ph: (208) 244-1446 |
| NPI Number | 1457036436 |
|---|---|
| Provider Enumeration Date | 06/19/2023 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457036436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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