BLOOM HOUSE THERAPY AND WELLNESS LLC. NPI 1487413472

NPI Information

NPI: 1487413472
Provider Name: BLOOM HOUSE THERAPY AND WELLNESS LLC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
337 S WALNUT ST
STATESBORO, GA
ZIP 30458
Phone: (912) 493-7783
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BLOOM HOUSE THERAPY AND WELLNESS LLC. is a mental health counselor in Statesboro, GA. BLOOM HOUSE THERAPY AND WELLNESS LLC. NPI is 1487413472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

337 S WALNUT ST
STATESBORO, GA
ZIP 30458-418
Phone: (912) 493-7783
Fax: (912) 205-6876

The provider's authorized official is Chelsea Weaver .
The authorized official title is Clinical Director and has the following contact phone number (912) 493-7783.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.

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
1	101YM0800X	Counselor	Mental Health			Yes

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

NPI Synchronization or Removal

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