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Organization
BLOOM MENTAL HEALTH AND WELLNESS
Active
Organization
BLOOM MENTAL HEALTH AND WELLNESS
Active
Other names
Bloom Mental Health and Wellness PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA POWELL (CEO)
(605) 864-9818
Entity
Organization
Contact information
Practice address
2333 W 57TH ST STE 103, SIOUX FALLS, SD 57108-5054
(605) 864-9818
Mailing address
5800 S BOUNTY PL, SIOUX FALLS, SD 57108-5179
(605) 864-9818
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/23/2024
Last updated
11/23/2024
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