# BLOOM MENTAL WELLNESS PLLC

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

## Provider details

- **NPI number:** 1508705229
- **Authorized official:** CARISSA ROBINSON (SOLE OWNER)
- **Authorized official phone:** (801) 358-8861

## Contact information

- **Practice address:** 57 N 490 W, AMERICAN FORK, UT 84003-2264
- **Practice address phone:** (801) 421-3925
- **Mailing address:** 57 N 490 W, AMERICAN FORK, UT 84003-2264
- **Mailing address phone:** (801) 421-3925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/27/2026
- **Last updated:** 09/06/2026