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Organization
BLOOM MENTAL HEALTH AND WELLNESS LLC
Active
Organization
BLOOM MENTAL HEALTH AND WELLNESS LLC
Active
Other names
FULL BLOOM INTEGRATIVE HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
SHAINA RAE LABONTE (OWNER)
(413) 200-2808
Entity
Organization
Contact information
Practice address
1207 S MAIN ST STE 1, PALMER, MA 01069-1897
(413) 200-2808
(223) 924-9926
Mailing address
1207 S MAIN ST STE 1, PALMER, MA 01069-1897
(413) 200-2808
(223) 924-9926
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
04/15/2026
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