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Organization
BLOOM THERAPY SERVICES, LLC
Active
Organization
BLOOM THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER MADDEN LPCC (CLINICAL DIRECTOR)
(606) 344-2671
Entity
Organization
Contact information
Practice address
16 VIOLET CT, LONDON, KY 40741-9282
(606) 344-2671
Mailing address
16 VIOLET CT, LONDON, KY 40741-9282
(606) 344-2671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
04/11/2023
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