Ilyse Bloom, LLC

NPI #1053107359 in Boulder, Colorado

Provider Information

NPI Number: 1053107359
Entity Type: Organization
Organization Name: Ilyse Bloom, LLC
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Apr 15, 2025
Last Updated: Apr 25, 2025

Practice Location

Address: 3100 ARAPAHOE AVE STE 101
City: Boulder
State: Colorado
ZIP Code: 80303-1050
Phone: (303) 931-8492

Authorized Official

Name: ILYSE BLOOM, LMFT
Title: OWNER
Phone: (303) 931-8492

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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