| NPI | 1679375547 |
|---|---|
| Doing Business As | BLOOM PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | MARTIN NEARY Credentialing 518-244-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |