Organization
BLOOM COUNSELING & CONSULTATION
Active
Other names
Bloom Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
CORRIE LEE LARSON LICSW (CEO/OWNER)
(253) 380-0038
Entity
Organization
Contact information
Practice address
1824 MEMORIAL DR, CLARKSVILLE, TN 37043-4605
(253) 380-0038
Mailing address
259 HARROWGATE DR, CLARKSVILLE, TN 37043-1596
(253) 380-0038
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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