Organization
BLOOMHAVEN WELLNESS CENTER
Active
Other names
Bloomhaven Wellness Retreats
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE N RANDOLPH (MANAGER)
(832) 730-9817
Entity
Organization
Contact information
Practice address
5373 W ALABAMA ST STE 204, HOUSTON, TX 77056-5923
(832) 466-2215
Mailing address
2424 CAPITOL ST APT 1112, HOUSTON, TX 77003-3150
(832) 466-2215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/04/2026
Last updated
02/19/2026
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