Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BLOOM INTEGRATIVE THERAPY
Active
Organization
BLOOM INTEGRATIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE GRAHAM-HERBERT LCPC (OWNER)
(208) 495-4068
Entity
Organization
Contact information
Practice address
250 W BOBWHITE CT STE 225, BOISE, ID 83706-6601
(208) 495-4068
Mailing address
9169 W STATE ST STE 486, GARDEN CITY, ID 83714-1733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2026
Last updated
09/04/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up