| NPI | 1659763001 |
|---|---|
| Doing Business As | BLOOM WITHIN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MYRA GASSER Licensed Professional Counselor 843-422-2041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC 5460) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2015-02-23 |