| The Bloom Wellness And Therapy Center | |
|
3343 Peachtree Rd Ne Ste 145-1685 Atlanta GA 30326-1085 | |
| (470) 222-3671 | |
| Not Available |
| Full Name | The Bloom Wellness And Therapy Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3343 Peachtree Rd Ne Ste 145-1685, Atlanta, Georgia |
| Authorized Official Name and Position | Edmonia Sianneh Doe (FOUNDER) |
| Authorized Official Contact | 4043880119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Bloom Wellness And Therapy Center 3343 Peachtree Rd Ne Ste 145-1685 Atlanta GA 30326-1085 Ph: (470) 222-3671 | The Bloom Wellness And Therapy Center 3343 Peachtree Rd Ne Ste 145-1685 Atlanta GA 30326-1085 Ph: (470) 222-3671 |
| NPI Number | 1841882610 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 07/03/2023 |
| Certification Date | 07/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841882610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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