| Blooming Minds Psychotherapy Llc | |
|
601 N 5th St Ste 9 Sheboygan WI 53081-4623 | |
| (920) 977-3111 | |
| (920) 482-5662 |
| Full Name | Blooming Minds Psychotherapy Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 601 N 5th St Ste 9, Sheboygan, Wisconsin |
| Authorized Official Name and Position | Mindy Kue (OWNER) |
| Authorized Official Contact | 9209773111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blooming Minds Psychotherapy Llc 1432 N 10th St Sheboygan WI 53081-3332 Ph: (920) 912-8628 | Blooming Minds Psychotherapy Llc 601 N 5th St Ste 9 Sheboygan WI 53081-4623 Ph: (920) 977-3111 |
| NPI Number | 1780250035 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780250035 | NPI | - | NPPES |
| 1780250035 | Medicaid | WI |
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