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BLOOM COUNSELING PC NPI 1073824991


NPI Information

NPI: 1073824991
Provider Name: BLOOM COUNSELING, PC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3113 WOODSIDE DR
ARDMORE, OK
ZIP 73401
Phone: (580) 222-7023
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BLOOM COUNSELING, PC is a professional counselor in Ardmore, OK. BLOOM COUNSELING, PC NPI is 1073824991. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3113 WOODSIDE DR
ARDMORE, OK
ZIP 73401-118
Phone: (580) 222-7023

The provider's authorized official is Matthew W Bloom .
The authorized official title is Chief Executive Officer and has the following contact phone number (580) 222-7023.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 6/29/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional4312OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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