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BLOOM PSYCHOLOGICAL SERVICES LLC NPI 1083098495


NPI Information

NPI: 1083098495
Provider Name: BLOOM PSYCHOLOGICAL SERVICES, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1520 29TH AVE
SUITE 31
GULFPORT, MS
ZIP 39501
Phone: (228) 547-2273
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BLOOM PSYCHOLOGICAL SERVICES, LLC is a clinical psychologist in Gulfport, MS. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BLOOM PSYCHOLOGICAL SERVICES, LLC NPI is 1083098495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 29TH AVE
SUITE 31
GULFPORT, MS
ZIP 39501-843
Phone: (228) 547-2273

The provider's authorized official is Holly Michelle Spotts .
The authorized official title is Owner and has the following contact phone number (228) 547-2273.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.


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
1103TC0700XPsychologistClinical54965MISSISSIPPIYes

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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