| The Bloom Therapy, Pllc | |
|
208 Newburg Ln Matthews NC 28105-5710 | |
| (704) 726-3550 | |
| Not Available |
| Full Name | The Bloom Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 208 Newburg Ln, Matthews, North Carolina |
| Authorized Official Name and Position | Alejandra Davis (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 7047263550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bloom Therapy, Pllc 208 Newburg Ln Matthews NC 28105-5710 Ph: (704) 726-3550 | The Bloom Therapy, Pllc 208 Newburg Ln Matthews NC 28105-5710 Ph: (704) 726-3550 |
| NPI Number | 1326880485 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326880485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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