# BLOOM MENTAL HEALTH AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bloom Mental Health and Wellness PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568288652
- **Authorized official:** BRIANA POWELL (CEO)
- **Authorized official phone:** (605) 864-9818

## Contact information

- **Practice address:** 2333 W 57TH ST STE 103, SIOUX FALLS, SD 57108-5054
- **Practice address phone:** (605) 864-9818
- **Mailing address:** 5800 S BOUNTY PL, SIOUX FALLS, SD 57108-5179
- **Mailing address phone:** (605) 864-9818

## 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:** 11/23/2024
- **Last updated:** 11/23/2024