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Organization
BLOOM HOUSE THERAPY AND WELLNESS LLC.
Active
Organization
BLOOM HOUSE THERAPY AND WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHELSEA WEAVER MED. LPC. (CLINICAL DIRECTOR)
(912) 493-7783
Entity
Organization
Contact information
Practice address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 493-7783
(912) 205-6876
Mailing address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 493-7783
(912) 205-6876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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