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Organization
IN BLOOM MENTAL HEALTH COUNSELING, LLC
Active
Organization
IN BLOOM MENTAL HEALTH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDELLE HETHER-GRAY LMHC, LCPC (OWNER)
(347) 509-7127
Entity
Organization
Contact information
Practice address
247 PROSPECT AVE STE 4H, BROOKLYN, NY 11215-8403
(347) 509-7127
Mailing address
2324 W JOPPA RD STE 410, LUTHERVILLE, MD 21093-4620
(443) 446-4718
(347) 391-0191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
08/12/2022
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