# THE BLOOM CENTER FOR MOTHERHOOD

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

## Provider details

- **NPI number:** 1134001563
- **Authorized official:** HEENA KHAN LPC-S (FOUNDER & CLINICAL DIRECTOR)
- **Authorized official phone:** (832) 279-2155

## Contact information

- **Practice address:** 945 STOCKTON DR UNIT 3110, ALLEN, TX 75013-6157
- **Practice address phone:** (213) 301-3380
- **Mailing address:** 1211 PROVIDENCE DR, ALLEN, TX 75002-5306
- **Mailing address phone:** (832) 279-2155

## Taxonomy

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

## Other

- **Enumeration date:** 07/25/2025
- **Last updated:** 07/25/2025
