# BLOOM THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1346839487
- **Authorized official:** AMBER MADDEN LPCC (CLINICAL DIRECTOR)
- **Authorized official phone:** (606) 344-2671

## Contact information

- **Practice address:** 16 VIOLET CT, LONDON, KY 40741-9282
- **Practice address phone:** (606) 344-2671
- **Mailing address:** 16 VIOLET CT, LONDON, KY 40741-9282
- **Mailing address phone:** (606) 344-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 04/11/2023