# BLOOM THERAPY TREATMENT CENTER

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

## Provider details

- **NPI number:** 1467242800
- **Authorized official:** ALEXA K WALDMANN LCSW (OWNER)
- **Authorized official phone:** (775) 223-1009

## Contact information

- **Practice address:** 5293 BENTGRASS DR, STAGECOACH, NV 89429-8481
- **Practice address phone:** (775) 223-1009
- **Mailing address:** 62 S MADDUX DR, RENO, NV 89512-1831
- **Mailing address phone:** (775) 223-1009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 05/08/2025
- **Last updated:** 04/23/2026