# HEAL & BLOOM FAMILY THERAPY PLLC

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

## Provider details

- **NPI number:** 1164264180
- **Authorized official:** LUDIVINA ACEVEDO LMFT (LMFT)
- **Authorized official phone:** (210) 540-0543

## Contact information

- **Practice address:** 524 EXCHANGE AVE, SCHERTZ, TX 78154-2182
- **Practice address phone:** (210) 245-7217
- **Mailing address:** 10227 CRYSTAL VW, UNIVERSAL CITY, TX 78148-4637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2024
- **Last updated:** 06/10/2024