Organization
BLOOM MINDFULLY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE PHELPS LCSW (OWNER/CLINICIAN)
(860) 248-6284
Entity
Organization
Contact information
Practice address
281 HARTFORD TPKE STE 104, VERNON, CT 06066-4760
(860) 248-6284
Mailing address
53 MEADOWLARK RD, VERNON, CT 06066-4310
(860) 248-6284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
05/17/2026
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