# BLOOM HARBOR COLLECTIVE, PLLC

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

## Provider details

- **NPI number:** 1265349914
- **Authorized official:** CHENYA JOSEPH APRN (OWNER)
- **Authorized official phone:** (662) 310-2341

## Contact information

- **Practice address:** 2529 E LANCASTER AVE, FORT WORTH, TX 76103-2253
- **Practice address phone:** (469) 868-4500
- **Mailing address:** 6245 RUFE SNOW DR. STE. 280, PMB 1050, FORT WORTH, TX 76148-3352
- **Mailing address phone:** (469) 868-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/27/2026
- **Last updated:** 09/08/2026