| Neurobloom Llc | |
|
4517 Pine Tree Cir Vestavia AL 35243-2307 | |
| (205) 286-2003 | |
| Not Available |
| Full Name | Neurobloom Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4517 Pine Tree Cir, Vestavia, Alabama |
| Authorized Official Name and Position | Ashley Beard (OWNER) |
| Authorized Official Contact | 2059364087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurobloom Llc 4517 Pine Tree Cir Vestavia AL 35243-2307 Ph: () - | Neurobloom Llc 4517 Pine Tree Cir Vestavia AL 35243-2307 Ph: (205) 286-2003 |
| NPI Number | 1497363519 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 07/15/2020 |
| Certification Date | 07/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497363519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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