Bloom Counseling & Consultation
NPI #1467268045 in Clarksville, Tennessee
Provider Information
- NPI Number
- 1467268045
- Entity Type
- Organization
- Organization Name
- Bloom Counseling & Consultation
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 9, 2024
- Last Updated
- Dec 9, 2024
Practice Location
- Address
- 1824 MEMORIAL DR
- City
- Clarksville
- State
- Tennessee
- ZIP Code
- 37043-4605
- Phone
- (253) 380-0038
Authorized Official
- Name
- CORRIE LEE LARSON, LICSW
- Title
- CEO/OWNER
- Phone
- (253) 380-0038
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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