| Mountain Bloom Psychiatry Pllc | |
|
565 Green Village Ct Unit B El Paso TX 79912-8168 | |
| (404) 454-0948 | |
| Not Available |
| Full Name | Mountain Bloom Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 565 Green Village Ct Unit B, El Paso, Texas |
| Authorized Official Name and Position | Ijeoma Ibeanu (PSYCHIATRIST/CEO) |
| Authorized Official Contact | 4044540948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Bloom Psychiatry Pllc 565 Green Village Ct Unit B El Paso TX 79912-8168 Ph: (404) 454-0948 | Mountain Bloom Psychiatry Pllc 565 Green Village Ct Unit B El Paso TX 79912-8168 Ph: (404) 454-0948 |
| NPI Number | 1306659685 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306659685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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