Organization
BLOOM CONNECT & WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH MBUEN PMHNP-BC (CEO/FOUNDER)
(336) 740-6347
Entity
Organization
Contact information
Practice address
10562 TATTERSALL DR, MANASSAS, VA 20112-2407
(571) 518-8036
(540) 208-1679
Mailing address
4102 PARAPET CT, FREDERICKSBURG, VA 22408-2564
(571) 518-8036
(540) 208-1679
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/16/2026
Last updated
03/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us