| Blooming Wellness & Therapeutic Services Llc | |
|
234r Duncaster Rd Bloomfield CT 06002-1110 | |
| (860) 431-0968 | |
| Not Available |
| Full Name | Blooming Wellness & Therapeutic Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 234r Duncaster Rd, Bloomfield, Connecticut |
| Authorized Official Name and Position | Roselind Velez Amaker (LMFT) |
| Authorized Official Contact | 2033149715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Wellness & Therapeutic Services Llc 234r Duncaster Rd Bloomfield CT 06002-1110 Ph: () - | Blooming Wellness & Therapeutic Services Llc 234r Duncaster Rd Bloomfield CT 06002-1110 Ph: (860) 431-0968 |
| NPI Number | 1740947902 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740947902 | NPI | - | NPPES |
| 1780257865 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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