Organization
ELSBETH MCCORMICK LLC
Active
Other names
Bloom Integrative Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ELSBETH MCCORMICK (OWNER)
(804) 396-2725
Entity
Organization
Contact information
Practice address
5700 W GRACE ST STE 102, RICHMOND, VA 23226-1832
(804) 396-2725
Mailing address
5700 W GRACE ST STE 102, RICHMOND, VA 23226-1832
(804) 396-2725
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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