Lumen Bloom Therapy, Pllc
NPI #1184514077 in Bloomington, Illinois
Provider Information
- NPI Number
- 1184514077
- Entity Type
- Organization
- Organization Name
- Lumen Bloom Therapy, Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 3, 2025
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 203 LELAND ST
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5643
- Phone
- (815) 324-4770
Authorized Official
- Name
- JAIME COX, LCSW
- Title
- MEMBER/OWNER
- Phone
- (773) 620-6695
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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