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Organization
LUMEN BLOOM THERAPY, PLLC
Active
Organization
LUMEN BLOOM THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME COX LCSW (MEMBER/OWNER)
(773) 620-6695
Entity
Organization
Contact information
Practice address
203 LELAND ST, BLOOMINGTON, IL 61701-5643
(815) 324-4770
Mailing address
203 LELAND ST, BLOOMINGTON, IL 61701-5643
(815) 324-4770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/28/2025
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