Organization
BLOOM COUNSELING AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KRENZEL LCMHC (EXECUTIVE OFFICER)
(248) 835-5175
Entity
Organization
Contact information
Practice address
3722 SHIPYARD BLVD STE A, WILMINGTON, NC 28403-6165
(910) 777-8483
Mailing address
1211 CROSS WATER CIR, LELAND, NC 28451-1519
(910) 777-8483
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
07/06/2024
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