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Organization

DARBI PETERSON

Active
Parent organization
BLOOM MENTAL HEALTH LLC
Other names
Bloom Mental Health LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLOOM MENTAL HEALTH LLC
Authorized official
DARBI PETERSON LPC (CLINICAL MANAGER AND OWNER)
(469) 588-6727
Entity
Organization

Contact information

Practice address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(469) 588-6727
Mailing address
250 AQUA MARINE DR, LITTLE ELM, TX 75068-2269
(469) 588-6727

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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