Organization
TRUEBLOOM COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LYNN SANTUS LMSW (CEO)
(586) 303-6204
Entity
Organization
Contact information
Practice address
1607 WHITE PINE WAY, OXFORD, MI 48371-1216
(586) 303-6204
Mailing address
1607 WHITE PINE WAY, OXFORD, MI 48371-1216
(586) 303-6204
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700061088
—
MI
Enumeration date
11/22/2023
Last updated
11/22/2023
Update your record
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