Bloom Mindfully Counseling Pllc
NPI #1376349043 in Bolton, Connecticut
Provider Information
- NPI Number
- 1376349043
- Entity Type
- Organization
- Organization Name
- Bloom Mindfully Counseling Pllc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 21, 2025
- Last Updated
- Apr 1, 2025
Practice Location
- Address
- 1212 BOSTON TPKE STE B
- City
- Bolton
- State
- Connecticut
- ZIP Code
- 06043-7451
- Phone
- (860) 246-6284
Authorized Official
- Name
- MACKENZIE PHELPS, LCSW
- Title
- OWNER/CLINICIAN
- Phone
- (860) 246-6284
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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