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Organization
GUIDED BLOOM
Active
Organization
GUIDED BLOOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KING-HOLLIDAY LCSW (CLINICAL DIRECTOR)
(708) 740-4976
Entity
Organization
Contact information
Practice address
18141 DIXIE HWY STE 202, HOMEWOOD, IL 60430-2243
(708) 740-4976
Mailing address
18141 DIXIE HWY STE 202, HOMEWOOD, IL 60430-2243
(708) 740-4976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
01/01/2026
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