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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