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Organization
BLOOMING WILD COLLECTIVE PLLC
Active
Organization
BLOOMING WILD COLLECTIVE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY SACHAU LHMC (OWNER; CLINICIAN)
(712) 847-2226
Entity
Organization
Contact information
Practice address
1119 4TH ST STE 220, SIOUX CITY, IA 51101-1930
(712) 847-2226
Mailing address
1119 4TH ST STE 220, SIOUX CITY, IA 51101-1930
(712) 847-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2026
Last updated
09/09/2026
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