Bloom Wellness LLC
NPI #1093523904 in Cripple Creek, Colorado
Provider Information
- NPI Number
- 1093523904
- Entity Type
- Organization
- Organization Name
- Bloom Wellness LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLOOM WELLNESS LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 23, 2024
- Last Updated
- Dec 23, 2024
Practice Location
- Address
- 100 W BENNETT AVENUE
- City
- Cripple Creek
- State
- Colorado
- ZIP Code
- 80813
- Phone
- (719) 286-9077
Authorized Official
- Name
- LAURA MAGNUSON, LSCW
- Title
- OWNER, SUPERVISOR, CLINICIAN
- Phone
- (303) 408-8056
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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