Organization
BLOOM HOUSE THERAPY AND WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHELSEA WEAVER MED. LPC. (CLINICAL DIRECTOR)
(912) 493-7783
Entity
Organization
Contact information
Practice address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 493-7783
(912) 205-6876
Mailing address
337 S WALNUT ST, STATESBORO, GA 30458-5418
(912) 493-7783
(912) 205-6876
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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