Organization
BLOOM COUNSELING OF SANFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY DENISE CASEY LCMHC (OWNER/THERAPIST)
(731) 592-3351
Entity
Organization
Contact information
Practice address
628 REGIMENTAL DR, CAMERON, NC 28326-7668
(731) 592-3351
Mailing address
628 REGIMENTAL DR, CAMERON, NC 28326-7668
(731) 592-3351
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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