# BLOOM MIND INC

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

## Provider details

- **NPI number:** 1639978232
- **Authorized official:** MRS. LARYSA TSELOVANSKA MSED (PRESIDENT)
- **Authorized official phone:** (917) 405-7242

## Contact information

- **Practice address:** 1864 85TH ST APT 6C, BROOKLYN, NY 11214-3125
- **Practice address phone:** (917) 405-7242
- **Mailing address:** 1864 85TH ST APT 6C, BROOKLYN, NY 11214-3125
- **Mailing address phone:** (917) 405-7242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2025
- **Last updated:** 03/11/2025