Still I Bloom Lcsw

NPI #1356184493 in Albany, New York

Provider Information

NPI Number: 1356184493
Entity Type: Organization
Organization Name: Still I Bloom Lcsw
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 17, 2024
Last Updated: Jun 17, 2024

Practice Location

Address: 107 WINNIE ST
City: Albany
State: New York
ZIP Code: 12208-2051
Phone: (518) 487-9950

Authorized Official

Name: CHENIQUE L BOUTELLE, LCSW
Title: OWNER
Phone: (518) 487-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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