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Organization
BLOOM THERAPEUTICS PLLC
Active
Organization
BLOOM THERAPEUTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARAN BLOOMINGDALE CMHC, ATR-P (OWNER)
(801) 455-4667
Entity
Organization
Contact information
Practice address
1782 E MOMBO DR, SANDY, UT 84092-3016
(801) 455-4667
Mailing address
1782 E MOMBO DR, SANDY, UT 84092-3016
(801) 455-4667
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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