| NPI | 1427641596 |
|---|---|
| Former Legal Business Name | BLOOM THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | NINA GRACE SINGH Licensed Professional Counselors 864-323-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2022-01-20 |