Organization
BLOOM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY JESSEN LISW (OWNER)
(712) 254-1025
Entity
Organization
Contact information
Practice address
319 CHESTNUT ST, ATLANTIC, IA 50022-1064
(712) 254-1025
Mailing address
319 CHESTNUT ST, ATLANTIC, IA 50022-1064
(712) 254-1025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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