Organization
BLOOM COUNSELING AND THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE BLYDEN LCSW (FOUNDER)
(407) 455-4425
Entity
Organization
Contact information
Practice address
16506 N DALE MABRY HWY, TAMPA, FL 33618-1325
(813) 262-0460
Mailing address
12011 CITRUS FALLS CIR APT 203, TAMPA, FL 33625-5716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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