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Organization

BLOOM WITHIN COUNSELING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEATON ELAINE COLEMAN LCSW (MENTAL HEALTH COUNSELOR/CEO)
(314) 643-8159
Entity
Organization

Contact information

Practice address
1311 MIDLAND DR, SAINT LOUIS, MO 63130-1824
(314) 643-8159
Mailing address
1311 MIDLAND DR, SAINT LOUIS, MO 63130-1824
(314) 643-8159

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/07/2026
Last updated
04/07/2026
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