Organization
BLOOM MENTAL HEALTH AND WELLNESS, LLC
Active
Organization
BLOOM MENTAL HEALTH AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARI J QUINTERO APRN (OWNER)
(407) 252-7011
Entity
Organization
Contact information
Practice address
1540 INTERNATIONAL PKWY STE 2000, LAKE MARY, FL 32746-5096
(407) 554-9970
Mailing address
1540 INTERNATIONAL PKWY STE 2000, LAKE MARY, FL 32746-5096
(407) 252-7011
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
11/04/2024
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