Organization
BLOOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MCGLOTHREN LCSW (OWNER)
(985) 790-7763
Entity
Organization
Contact information
Practice address
1000 PLANTATION RD STE 1A, THIBODAUX, LA 70301-4264
(985) 790-7763
Mailing address
204 ASPEN DR, RACELAND, LA 70394-3859
(225) 205-0549
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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