Organization
BLOOM WELLNESS LLC
Active
Organization
BLOOM WELLNESS LLC
Active
Parent organization
BLOOM WELLNESS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLOOM WELLNESS LLC
Authorized official
LAURA MAGNUSON LCSW (OWNER/CLINICIAN)
(719) 286-9077
Entity
Organization
Contact information
Practice address
10585 UTE PASS AVENUE, GREEN MOUNTAIN FALLS, CO 80809
(719) 286-9077
Mailing address
417 BEAVER POND RD, DIVIDE, CO 80814-7792
(719) 286-9077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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