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Organization
BLOOM BEHAVIORAL HEALTH & WELLNESS, PLLC
Active
Organization
BLOOM BEHAVIORAL HEALTH & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLEDRIA MCGEE DNP, PMHNP (OWNER, PROVIDER)
(901) 870-8624
Entity
Organization
Contact information
Practice address
200 S RHODES ST STE E, WEST MEMPHIS, AR 72301-4213
(662) 912-6024
(662) 265-9483
Mailing address
2416 FALLINGWATER LN APT 102, CORDOVA, TN 38016-7686
(901) 870-8624
(662) 265-9483
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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