Organization
NEUROBLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BEARD LPC (OWNER)
(205) 936-4087
Entity
Organization
Contact information
Practice address
4517 PINE TREE CIR, VESTAVIA, AL 35243-2307
(205) 286-2003
Mailing address
4517 PINE TREE CIR, VESTAVIA, AL 35243-2307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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