Organization
SAFETY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA BLOOM MA, LPCC (DIRECTOR OF COUNSELING)
(952) 884-4882
Entity
Organization
Contact information
Practice address
10800 LYNDALE AVE S STE 75, BLOOMINGTON, MN 55420-0010
(952) 884-4882
(952) 884-0284
Mailing address
10800 LYNDALE AVE S STE 75, BLOOMINGTON, MN 55420-0010
(952) 884-4882
(952) 884-0284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TF0200X
Forensic Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035866500
—
MN
05
—
112323800
—
MN
05
—
335847000
—
MN
05
—
427098300
—
MN
Enumeration date
06/09/2008
Last updated
06/03/2024
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