Organization
BLOOM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY CRAWFORD MSN, APRN, PMHNP-BC (PMHNP)
(601) 896-2102
Entity
Organization
Contact information
Practice address
160 BLUE LAKE ST, RICHMOND HILL, GA 31324-4435
(601) 896-2102
Mailing address
160 BLUE LAKE ST, RICHMOND HILL, GA 31324-4435
(601) 896-2102
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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