Organization
BLOOM WELLNESS COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN HENDERSON LCSW (MEMBER)
(309) 267-6737
Entity
Organization
Contact information
Practice address
4541 N PROSPECT RD STE 302, PEORIA HEIGHTS, IL 61616-6490
(708) 573-1955
Mailing address
4541 N PROSPECT RD STE 302, PEORIA HEIGHTS, IL 61616-6490
(309) 267-6737
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/03/2026
Last updated
05/06/2026
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