| NPI | 1568288652 |
|---|---|
| Doing Business As | BLOOM MENTAL HEALTH AND WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | BRIANA POWELL CEO 605-864-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2024-11-23 |