In Bloom Wellness Pllc
NPI #1730867037 in Shelbyville, Illinois
Provider Information
- NPI Number
- 1730867037
- Entity Type
- Organization
- Organization Name
- In Bloom Wellness Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 6, 2023
- Last Updated
- Jul 6, 2023
Practice Location
- Address
- 215 W NORTH 9TH ST
- City
- Shelbyville
- State
- Illinois
- ZIP Code
- 62565-1015
- Phone
- (765) 404-4002
Authorized Official
- Name
- BRADI GORDON
- Title
- OWNER
- Phone
- (765) 404-4002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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