# DESERT BLOOM COUNSELING AND WELLNESS COLLECTIVE LLC

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

## Provider details

- **NPI number:** 1104643295
- **Authorized official:** SAMANTHA LAUREN FE LPC (LICENSED PROFESSIONAL COUNSELOR)
- **Authorized official phone:** (541) 668-7354

## Contact information

- **Practice address:** 45 NW GREELEY AVE, BEND, OR 97703-2943
- **Practice address phone:** (541) 668-7354
- **Mailing address:** 45 NW GREELEY AVE, BEND, OR 97703-2943
- **Mailing address phone:** (541) 668-7354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2024
- **Last updated:** 03/17/2025