Organization
BLOOM BEHAVIORAL HEALTH PARTNERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THATCHER L.P.C. (OWNER / COUNSELOR)
(616) 202-2138
Entity
Organization
Contact information
Practice address
1514 WEALTHY ST SE STE 242, GRAND RAPIDS, MI 49506-2755
(616) 202-2138
(616) 228-8990
Mailing address
1514 WEALTHY ST SE STE 242, GRAND RAPIDS, MI 49506-2755
(616) 202-2138
(616) 228-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/17/2019
Last updated
02/25/2022
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