# BLOOM FAMILY THERAPIST GROUP, INC.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801676473
- **Authorized official:** ERICA TOPETE LMFT (LICENSED THERAPIST / FOUNDER)
- **Authorized official phone:** (619) 500-1843

## Contact information

- **Practice address:** 3511 CAMINO DEL RIO S STE 500, SAN DIEGO, CA 92108-4022
- **Practice address phone:** (619) 500-1843
- **Mailing address:** PO BOX 1494, IMPERIAL BEACH, CA 91933-1494
- **Mailing address phone:** (619) 500-1843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2023
- **Last updated:** 10/02/2023