| NPI | 1649677006 |
|---|---|
| Doing Business As | BLOOM THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATY DAVID Clinical Director/Supervisor 512-660-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69652) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2023-01-03 |