Organization
BLOOMING VALLEYS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MARIA ROMAN LCSW (OWNER/CLINICIAN)
(860) 778-1580
Entity
Organization
Contact information
Practice address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
(860) 778-1580
Mailing address
15 N MAIN ST STE 100, WEST HARTFORD, CT 06107-1957
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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