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Organization

INNER BLOOM PROFESSIONAL COUNSELING SERVICES LLC

Active
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Organization

INNER BLOOM PROFESSIONAL COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHANTAL ROSE CASTILLO (OWNER/MANAGER)
(520) 517-8223
Entity
Organization

Contact information

Practice address
19330 S 208TH PL, QUEEN CREEK, AZ 85142-1615
(520) 517-8223
Mailing address
19330 S 208TH PL, QUEEN CREEK, AZ 85142-1615
(520) 517-8223

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—

Other

Enumeration date
03/12/2025
Last updated
03/12/2025
About Stedi
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  • Eligibility checks