Organization
ILYSE BLOOM, LLC
Active
Other names
Ilyse Bloom, LMFT, Ilyse Bloom
Organization subpart
No
Provider details
NPI number
Authorized official
ILYSE BLOOM LMFT (OWNER)
(303) 931-8492
Entity
Organization
Contact information
Practice address
3100 ARAPAHOE AVE STE 101, BOULDER, CO 80303-1050
(303) 931-8492
Mailing address
4509 WELLINGTON RD, BOULDER, CO 80301-3155
(303) 931-8492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/25/2025
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