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Organization

BLOOM IN SESSION PSYCHOTHERAPY & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHAREKA MOORE-ROQUE LCSW (PROVIDER/OWNER)
(318) 264-1069
Entity
Organization

Contact information

Practice address
3600 JACKSON ST STE 113A, ALEXANDRIA, LA 71303-3040
(318) 442-5465
(318) 314-3011
Mailing address
9 WINFIELD RD, ALEXANDRIA, LA 71303
(318) 264-1069
(318) 314-3011

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/02/2021
Last updated
08/03/2021
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