NPI | 1003799131 |
---|---|
Doing Business As | BLOOM THERAPY |
Entity Type | Organization |
Authorized Contact | ZACHERY NIELSEN Co Manager 563-265-5063 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2025-07-28 |
Last Update Date | 2025-07-28 |