| Phases Of Bloom, Llc | |
|
4255 Cayuga Trl Flint MI 48532-3581 | |
| (810) 515-9839 | |
| Not Available |
| Full Name | Phases Of Bloom, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4255 Cayuga Trl, Flint, Michigan |
| Authorized Official Name and Position | Angelica Georgina Pineda (OWNER) |
| Authorized Official Contact | 8105159839 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phases Of Bloom, Llc 4255 Cayuga Trl Flint MI 48532-3581 Ph: (810) 515-9839 | Phases Of Bloom, Llc 4255 Cayuga Trl Flint MI 48532-3581 Ph: (810) 515-9839 |
| NPI Number | 1821776055 |
|---|---|
| Provider Enumeration Date | 07/07/2023 |
| Last Update Date | 07/11/2023 |
| Certification Date | 07/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821776055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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