Organization
BLOOM THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRA BLOOM LICSW (LICSW)
(574) 212-2685
Entity
Organization
Contact information
Practice address
440 MAIN ST STE 6, STONEHAM, MA 02180-2649
(574) 212-2685
Mailing address
440 MAIN ST STE 6, STONEHAM, MA 02180-2649
(574) 212-2685
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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