Bloomin Family Therapy, LLC

NPI #1457036436 in Moscow, Idaho

Provider Information

NPI Number: 1457036436
Entity Type: Organization
Organization Name: Bloomin Family Therapy, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 19, 2023
Last Updated: Jul 3, 2024

Practice Location

Address: 207 S MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-2807
Phone: (208) 244-1446

Authorized Official

Name: CHANTEL ZUERCHER, LPC, NCC
Title: OWNER
Phone: (208) 244-1446

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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