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Organization

BLOOM FLOURISH MENTAL HEALTH COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TATIANA ASHLEY MCLEAN LMHC (OWNER)
(631) 683-8072
Entity
Organization

Contact information

Practice address
755 NEW YORK AVE STE 230, HUNTINGTON, NY 11743-4285
(631) 683-8072
(631) 498-4952
Mailing address
755 NEW YORK AVE STE 230, HUNTINGTON, NY 11743-4285
(631) 683-8072
(631) 498-4952

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
07/20/2021
Last updated
08/04/2021
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