Bloom Therapy LLC

NPI #1871355529 in Cheyenne, Wyoming

Provider Information

NPI Number
1871355529
Entity Type
Organization
Organization Name
Bloom Therapy LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Jan 29, 2024
Last Updated
Feb 15, 2024

Practice Location

Address
1616 E 19TH ST STE 3
State
Wyoming
ZIP Code
82001-4946
Phone
(307) 214-0229

Authorized Official

Name
ABIGAIL LANE, LPC
Title
THERAPIST/OWNER
Phone
(307) 214-0229

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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