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Organization
THE BLOOM WELLNESS AND THERAPY CENTER
Active
Organization
THE BLOOM WELLNESS AND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMONIA SIANNEH DOE LPC (FOUNDER)
(404) 388-0119
Entity
Organization
Contact information
Practice address
3343 PEACHTREE RD NE STE 145-1685, ATLANTA, GA 30326-1085
(470) 222-3671
Mailing address
3343 PEACHTREE RD NE STE 145-1685, ATLANTA, GA 30326-1085
(470) 222-3671
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/03/2021
Last updated
07/03/2023
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