Organization
BLOOM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS E LEE GARZA LPC (PARTNER COUNSELOR)
(262) 528-2015
Entity
Organization
Contact information
Practice address
510 HARTBROOK DR STE 201, HARTLAND, WI 53029-1444
(262) 528-2015
(866) 284-8107
Mailing address
510 HARTBROOK DR STE 201, HARTLAND, WI 53029-1444
(262) 528-2015
(866) 284-8107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5606-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100027690
—
WI
05
—
100042870
—
WI
05
—
100045001
—
WI
Enumeration date
07/09/2015
Last updated
07/09/2015
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