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Organization

BLOOM WELLNESS GROUP

Active
Parent organization
BLOOM THERAPY, PLC
Other names
Bloom Therapy
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLOOM THERAPY, PLC
Authorized official
ZACHERY NIELSEN LMHC, NCC (CO-MANAGER)
(563) 265-5063
Entity
Organization

Contact information

Practice address
3350 UTICA RIDGE RD, BETTENDORF, IA 52722-1616
(563) 265-5063
Mailing address
3350 UTICA RIDGE RD, BETTENDORF, IA 52722-1616
(563) 265-5063

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
261QC1500X
Community Health Clinic/Center

Other

Enumeration date
07/28/2025
Last updated
07/28/2025
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