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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