# GROUND BLOOM PLLC

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

## Provider details

- **NPI number:** 1992577761
- **Authorized official:** RACHEL AGRARIO CPC (OWNER/ THERAPIST)
- **Authorized official phone:** (702) 326-8246

## Contact information

- **Practice address:** 2520 SAINT ROSE PKWY STE 110, HENDERSON, NV 89074-7784
- **Practice address phone:** (702) 326-8246
- **Mailing address:** 811 APPERSON CIR, LAS VEGAS, NV 89123-0543
- **Mailing address phone:** (702) 326-8246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2023
- **Last updated:** 10/25/2023