Organization
BLOOM THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BRYCE LCSWA (OWNER)
(252) 479-0999
Entity
Organization
Contact information
Practice address
106 S FOURTH ST, MEBANE, NC 27302-2653
(252) 513-4020
Mailing address
5540 CENTERVIEW DR STE 204, #650147, RALEIGH, NC 27606-8012
(252) 513-4020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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