New Bloom Therapy, LLC

NPI #1447846258 in Bend, Oregon

Provider Information

NPI Number: 1447846258
Entity Type: Organization
Organization Name: New Bloom Therapy, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 15, 2020
Last Updated: Dec 15, 2020

Practice Location

Address: 1005 SW DISK DR STE 104
City: Bend
State: Oregon
ZIP Code: 97702-3385
Phone: (541) 248-9903

Authorized Official

Name: SALLY LEMOS, LPC
Title: OWNER
Phone: (541) 248-9903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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