# AMANAH BLOOM COUNSELING AND CONSULTING

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

## Provider details

- **NPI number:** 1124902986
- **Authorized official:** STEPHENIE KAMAAL LCSW (OWNER)
- **Authorized official phone:** (520) 591-3010

## Contact information

- **Practice address:** 3580 W INA RD STE 220, TUCSON, AZ 85741-2276
- **Practice address phone:** (520) 675-4002
- **Practice address fax:** (520) 779-3234
- **Mailing address:** PO BOX 1028, MARANA, AZ 85653-1028
- **Mailing address phone:** (520) 591-3010

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 12/03/2025