Organization
BLOOM THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BLOOM LCSW (OWNER PROVIDER)
(888) 517-4992
Entity
Organization
Contact information
Practice address
500 E 83RD ST APT 4L, NEW YORK, NY 10028-7382
(888) 517-4992
(252) 377-4231
Mailing address
500 E 83RD ST APT 4L, NEW YORK, NY 10028-7382
(888) 517-4992
(252) 377-4231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081585
NY
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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