| Bloom Therapy And Wellness, Llc | |
|
120 Gantt St Ste 8 Lexington SC 29072-2811 | |
| (803) 470-4026 | |
| Not Available |
| Full Name | Bloom Therapy And Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 Gantt St Ste 8, Lexington, South Carolina |
| Authorized Official Name and Position | Andrea Marie Dorn (OWNER) |
| Authorized Official Contact | 9204606834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Therapy And Wellness, Llc 120 Gantt St Ste 8 Lexington SC 29072-2811 Ph: (803) 470-4026 | Bloom Therapy And Wellness, Llc 120 Gantt St Ste 8 Lexington SC 29072-2811 Ph: (803) 470-4026 |
| NPI Number | 1760090724 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/28/2022 |
| Certification Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760090724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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