Organization
BLOOM COUNSELING & FAMILY SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDI ELLEN BLOOM MA, LPC (OWNER/CEO)
(713) 956-8194
Entity
Organization
Contact information
Practice address
11500 NW FWY, SUITE 465, HOUSTON, TX 77092
(713) 956-8194
(713) 683-1674
Mailing address
11500 NW FWY, SUITE 465, HOUSTON, TX 77092
(713) 956-8194
(713) 683-1674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156174801
—
TX
Enumeration date
09/16/2005
Last updated
03/05/2010
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