| Ground Bloom Pllc | |
|
2520 Saint Rose Pkwy Ste 110 Henderson NV 89074-7784 | |
| (702) 326-8246 | |
| Not Available |
| Full Name | Ground Bloom Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2520 Saint Rose Pkwy Ste 110, Henderson, Nevada |
| Authorized Official Name and Position | Rachel Agrario (OWNER/ THERAPIST) |
| Authorized Official Contact | 7023268246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ground Bloom Pllc 811 Apperson Cir Las Vegas NV 89123-0543 Ph: (702) 326-8246 | Ground Bloom Pllc 2520 Saint Rose Pkwy Ste 110 Henderson NV 89074-7784 Ph: (702) 326-8246 |
| NPI Number | 1992577761 |
|---|---|
| Provider Enumeration Date | 10/25/2023 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992577761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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