Organization
BLOOM BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MCILRATH (OWNER/PARTNER)
(218) 606-0819
Entity
Organization
Contact information
Practice address
205 W 2ND ST STE 150H, DULUTH, MN 55802-1920
(218) 606-0819
Mailing address
205 W 2ND ST STE 150H, DULUTH, MN 55802-1920
(218) 606-0819
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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