Organization
BLOOMING YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY MOORE MSW, LCSWA (OWNER/THERAPIST)
(417) 501-4689
Entity
Organization
Contact information
Practice address
10243 GLENBURN LN, CHARLOTTE, NC 28278-6002
(417) 501-4689
Mailing address
10243 GLENBURN LN, CHARLOTTE, NC 28278-6002
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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