# PEOPLE BLOOM COUNSELING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073020079
- **Authorized official:** MS. ADA K PANG MS (MANAGER/OWNER)
- **Authorized official phone:** (206) 457-3518

## Contact information

- **Practice address:** 8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
- **Practice address phone:** (206) 457-3518
- **Practice address fax:** (844) 965-9483
- **Mailing address:** 8201 164TH AVE NE STE 200, REDMOND, WA 98052-7615
- **Mailing address phone:** (206) 457-3518
- **Mailing address fax:** (844) 965-9483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2017
- **Last updated:** 08/17/2020