Organization
BLOOM WELLNESS AND PSYCHIATRY PLLC
Active
Organization
BLOOM WELLNESS AND PSYCHIATRY PLLC
Active
Other names
Amanda Sisul
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SISUL PMHNP (OWNER)
(512) 952-2644
Entity
Organization
Contact information
Practice address
821 W 11TH ST, AUSTIN, TX 78701-2009
(512) 952-2644
(512) 668-7885
Mailing address
13359 N HIGHWAY 183 STE 406-533, AUSTIN, TX 78750-7153
(512) 952-2644
(512) 668-7885
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
11/16/2023
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