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Organization
MIND BLOOM FAMILY THERAPY, PROF. CORP.
Active
Organization
MIND BLOOM FAMILY THERAPY, PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TAPIA LMFT (OWNER)
(909) 459-9651
Entity
Organization
Contact information
Practice address
7922 DAY CREEK BLVD APT 4318, RANCHO CUCAMONGA, CA 91739-8590
(909) 459-9651
Mailing address
7922 DAY CREEK BLVD APT 4318, RANCHO CUCAMONGA, CA 91739-8590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
03/14/2025
Last updated
06/03/2025
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