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Organization
BLOOMING GEM LLC
Active
Organization
BLOOMING GEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA WILSON PLMHP (OWNER)
(402) 807-3356
Entity
Organization
Contact information
Practice address
4376 LAUREL AVE, N/A, OMAHA, NE 68111
(402) 807-3356
Mailing address
4376 LAUREL AVE, N/A, OMAHA, NE 68111
(402) 807-3356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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