# BLOOMING OAK THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255289559
- **Authorized official:** KASSIDY MICHAELA CREECH LCSW (OWNER)
- **Authorized official phone:** (606) 312-1560

## Contact information

- **Practice address:** 6111 HIGHWAY 2003, MC KEE, KY 40447-7246
- **Practice address phone:** (606) 312-1560
- **Mailing address:** 212 N 2ND ST STE 100, RICHMOND, KY 40475-1408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2026
- **Last updated:** 04/06/2026