| Crescent Bloom Consulting Llc | |
|
1021 Thalia St New Orleans LA 70130-4134 | |
| (630) 816-2004 | |
| Not Available |
| Full Name | Crescent Bloom Consulting Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1021 Thalia St, New Orleans, Louisiana |
| Authorized Official Name and Position | Rebekah Cianci (MEMBER/MANAGER) |
| Authorized Official Contact | 6308162004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Bloom Consulting Llc 1021 Thalia St New Orleans LA 70130-4134 Ph: (630) 816-2004 | Crescent Bloom Consulting Llc 1021 Thalia St New Orleans LA 70130-4134 Ph: (630) 816-2004 |
| NPI Number | 1881204113 |
|---|---|
| Provider Enumeration Date | 08/02/2020 |
| Last Update Date | 08/21/2020 |
| Certification Date | 08/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881204113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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