Organization
BLOOM COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA WEBER (FOUNDER)
(502) 303-2449
Entity
Organization
Contact information
Practice address
6500 GLENRIDGE PARK PL STE 8, LOUISVILLE, KY 40222-3450
(502) 303-2449
Mailing address
6500 GLENRIDGE PARK PL STE 8, LOUISVILLE, KY 40222-3450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
01/06/2021
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