Organization
MEGAN RICHERT, LICENSED CLINICAL SOCIAL WORKER, INC
Active
Other names
Bloom Maternal Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN ELISE RICHERT LCSW (FOUNDER & CLINICAL DIRECTOR)
(805) 774-0656
Entity
Organization
Contact information
Practice address
310 JAMES WAY STE 150, PISMO BEACH, CA 93449-2877
(805) 774-0656
Mailing address
310 JAMES WAY STE 150, PISMO BEACH, CA 93449-2877
(805) 774-0656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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