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Organization
BLOOMWELL BEHAVIORAL HEALTH INC.
Active
Organization
BLOOMWELL BEHAVIORAL HEALTH INC.
Active
Other names
Bloomwell Behavioral Health Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN PRATT (CEO)
(612) 201-2468
Entity
Organization
Contact information
Practice address
7007 S 181ST ST STE 101A, OMAHA, NE 68136-2013
(612) 201-2468
(919) 561-6112
Mailing address
382 NE 191ST ST, MIAMI, FL 33179-3899
(612) 201-2468
(919) 561-6112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/20/2025
Last updated
04/28/2025
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