| Mosaic Bloom Counseling Llc | |
|
8302 Old York Rd Ste B1 Elkins Park PA 19027-1529 | |
| (267) 227-0122 | |
| Not Available |
| Full Name | Mosaic Bloom Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8302 Old York Rd Ste B1, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Marquita Janinne Bolden (OWNER) |
| Authorized Official Contact | 2672270122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mosaic Bloom Counseling Llc 8302 Old York Rd Ste B1 Elkins Park PA 19027-1529 Ph: (267) 227-0122 | Mosaic Bloom Counseling Llc 8302 Old York Rd Ste B1 Elkins Park PA 19027-1529 Ph: (267) 227-0122 |
| NPI Number | 1851073241 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851073241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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