Bloom Wellness LLC
NPI #1114723558 in Green Mountain Falls, Colorado
Provider Information
- NPI Number
- 1114723558
- 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
- Feb 24, 2025
- Last Updated
- Feb 24, 2025
Practice Location
- Address
- 10585 UTE PASS AVENUE
- State
- Colorado
- ZIP Code
- 80809
- Phone
- (719) 286-9077
Authorized Official
- Name
- LAURA MAGNUSON, LCSW
- Title
- OWNER/CLINICIAN
- Phone
- (719) 286-9077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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